Lateaqua Alston

NPI 1720489008 - Nurse Practitioner - 363LA2100X

NPI Details
NPI 1720489008
Gender Female
Enumeration Date 09/05/2014
Last Updated 09/05/2014
Entity Type Individual
Active Over 2 years ago
Practice Location
22 S GREENE ST
BALTIMORE MD, 21201-1544, US
Phone (410) 328-8667
Fax
Business Location
520 PARK AVE APT 609
BALTIMORE MD, 21201-4500, US
Phone
Fax
Toxanomy
Taxonomy Code 363LA2100X
License State Maryland
License Number R212367
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According to our database, Lateaqua Alston NPI is 1720489008, taxonomy code is 363LA2100X and license number is R212367, license state is located at Maryland. Lateaqua Alston physically located at 22 S Greene St, Baltimore MD, 21201-1544. NPI Number Lateaqua Alston has the Individual type.

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1720489008 NPI number is provided on an as is basis without warranty of any kind. 1720489008 is maintained by the National Plan & Provider Enumeration System. The contents of Lateaqua Alston are for informational purposes only.