Individual
LESLIE NWAYIM CHOFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MT
Contact information
Practice address
4940 EASTERN AVE, BALTIMORE, MD 21224-2735
(410) 550-0100
Mailing address
310 JENA CIR APT 101, ODENTON, MD 21113-1081
(240) 938-9702
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/22/2021
Last updated
10/22/2021
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