Individual
ELIAS SAMUEL LORIA GARRO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1741 ASHLAND AVE, BALTIMORE, MD 21205-1531
(479) 774-5663
Mailing address
622 S BROADWAY APT 313, BALTIMORE, MD 21231-2981
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/07/2024
Last updated
09/26/2024
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