Individual
JAM FON MBEM CHARLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3240 BELAIR RD, BALTIMORE, MD 21213-1228
(410) 342-0616
(410) 342-0618
Mailing address
3240 BELAIR RD, BALTIMORE, MD 21213-1228
(410) 342-0616
(410) 342-0618
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
20435
MD
Other
Enumeration date
07/01/2020
Last updated
07/01/2020
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