Organization
CPESN MARYLAND, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEANNA LEIKACH RPH (MANAGING NETWORK FACILITATOR)
(443) 386-1062
Entity
Organization
Contact information
Practice address
6350 FREDERICK RD, BALTIMORE, MD 21228-2375
(410) 744-5959
(410) 744-4810
Mailing address
10821 RED RUN BLVD UNIT 1795, OWINGS MILLS, MD 21117-8581
(443) 386-1062
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
03/13/2024
Last updated
03/20/2024
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