Individual
VIVIAN LOMAX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8 GREENBRUSH CT, BALTIMORE, MD 21244-1381
(443) 850-2646
Mailing address
8 GREENBRUSH CT, BALTIMORE, MD 21244-1381
(443) 850-2646
Taxonomy
Speciality
Code
Description
License number
State
385HR2050X
Respite Care Camp
Primary
305337
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7021101
—
MD
Enumeration date
04/28/2016
Last updated
04/28/2016
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