| NPI Details | |
|---|---|
| NPI | 1740604172 |
| Gender | Female |
| Enumeration Date | 02/05/2014 |
| Last Updated | 02/05/2014 |
| Entity Type | Individual |
| Active | Over 4 years ago |
| Practice Location | |
|---|---|
| 626 REVOLUTION ST HAVRE DE GRACE MD, 21078-3320, US |
|
| Phone | (410) 996-5104 |
| Fax | |
| Business Location | |
|---|---|
| 626 REVOLUTION ST HAVRE DE GRACE MD, 21078-3320, US |
|
| Phone | (410) 996-5104 |
| Fax | |
| Toxanomy | |
|---|---|
| Taxonomy Code | 101Y00000X |
| License State | Maryland |
| License Number | LGP5416 |
| Remove 1740604172 NPI Number | |
According to our database, Letisha Washington LGPC NPI is 1740604172, taxonomy code is 101Y00000X and license number is LGP5416, license state is located at Maryland. Letisha Washington LGPC physically located at 626 Revolution St, Havre De Grace MD, 21078-3320. NPI Number Letisha Washington LGPC has the Individual type.
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1740604172 NPI number is provided on an as is basis without warranty of any kind. 1740604172 is maintained by the National Plan & Provider Enumeration System. The contents of Letisha Washington LGPC are for informational purposes only.
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