Individual
LAKESA HARCUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
203 DARGUN RD, ESSEX, MD 21221-4013
(443) 401-0796
Mailing address
203 DARGUN RD, ESSEX, MD 21221-4013
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
12/04/2013
Last updated
12/04/2013
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