Individual
SIARA BAZEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1301 YORK RD, STE 800 LT8, LUTHERVILLE, MD 21093-6011
(410) 746-5397
Mailing address
44 SPRINGTIME WAY, BALTIMORE, MD 21234-8704
(410) 816-4401
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
10/17/2022
Last updated
02/02/2023
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