Individual
LATEAQUA ALSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
22 S GREENE ST, BALTIMORE, MD 21201-1544
(667) 214-1718
(410) 328-5147
Mailing address
PO BOX 64226, BALTIMORE, MD 21264-4226
(667) 214-1734
(410) 706-6976
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R212367
MD
Other
Enumeration date
09/05/2014
Last updated
09/10/2024
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