Individual
JOSEPH SIAKAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10639 HIGH BEAM CT, COLUMBIA, MD 21044-3627
(240) 481-2356
Mailing address
10639 HIGH BEAM CT, COLUMBIA, MD 21044-3627
(240) 481-2356
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1003111
DC
Other
Enumeration date
03/23/2016
Last updated
03/23/2016
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