Individual
PRINCESS BYASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2250 HICKORY RD, SUITE 240, PLYMOUTH MEETING, PA 19462-1047
(610) 834-1122
Mailing address
7500 COVE POINT WAY, ELKRIDGE, MD 21075-7919
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP41793
MD
Other
Enumeration date
08/15/2007
Last updated
08/15/2007
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