Individual
PAMELA LLEWELLYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8601 BRIARWOOD CT, LAUREL, MD 20708-1320
(301) 467-3673
Mailing address
8601 BRIARWOOD CT, LAUREL, MD 20708-1320
(301) 467-3673
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
11/22/2014
Last updated
11/22/2014
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