Individual
ELIZABETH KALLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8406 RED WING LN, LANHAM, MD 20706-3857
(301) 675-4084
Mailing address
8406 RED WING LN, LANHAM, MD 20706-3857
(301) 675-4084
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN8164
DC
Other
Enumeration date
10/23/2019
Last updated
10/23/2019
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