Individual
ANTOINE LANGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CHW
Contact information
Practice address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
(410) 387-6457
Mailing address
3001 S HANOVER ST, BALTIMORE, MD 21225-1233
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
00126-20-A
MD
Other
Enumeration date
09/24/2020
Last updated
09/24/2020
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