Organization
LATESHA POWELL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS LATESHA T POWELL (HAIRSTYLIST)
(301) 404-7312
Entity
Organization
Contact information
Practice address
8708 SHANNAN DR, CLINTON, MD 20735-2447
(301) 404-7312
Mailing address
8708 SHANNAN DR, CLINTON, MD 20735
(301) 404-7312
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
411602
MD
Other
Enumeration date
04/13/2016
Last updated
04/13/2016
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