Individual
DON JUAN LEFTRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
52 CENTRAL AVE W, EDGEWATER, MD 21037-2622
(410) 919-1160
Mailing address
3040 WOOSTER DR, BRYANS ROAD, MD 20616-3021
(202) 322-1170
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23461
MD
Other
Enumeration date
08/25/2015
Last updated
08/25/2015
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