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Individual

ERICA LONGSTREET

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1700 REISTERSTOWN RD STE 102, PIKESVILLE, MD 21208-2938
(410) 469-5555
(410) 469-5484
Mailing address
1700 REISTERSTOWN RD STE 102, PIKESVILLE, MD 21208-2938
(410) 469-5555
(410) 469-5484

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C007965
MD
363A00000X
Physician Assistant
MA057976
PA

Other

Enumeration date
10/28/2015
Last updated
10/04/2024
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