Organization
EMERGE EMPOWERMENT MOVEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LA CHETT KATRENIA LANDRUM COSMETOLOGIST (EXECUTIVE DIRECTOR)
(202) 321-0272
Entity
Organization
Contact information
Practice address
872 LARGO CENTER DR, LARGO, MD 20774-3705
(202) 321-0272
Mailing address
5835 FISHER RD APT 12, TEMPLE HILLS, MD 20748-5916
(202) 321-0272
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
219400
MD
Other
Enumeration date
11/10/2017
Last updated
11/10/2017
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