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Individual

LEAH BERRY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
6501 BALTIMORE NATIONAL PIKE, CATONSVILLE, MD 21228-3923
(667) 234-2100
Mailing address
120 WYNDCREST AVE, CATONSVILLE, MD 21228-4956
(484) 467-9257

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
R209221
MD

Other

Enumeration date
09/11/2018
Last updated
09/11/2018
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