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Search › Maryland › 225100000X

Takiara Fowlkes

NPI 1780385575 · on the registry since 2023

Practice

Address
1848 Reisterstown Rd
Pikesville, MD 21208
Phone
(443) 360-5527
Fax
(877) 353-0384
Organisation at this address
Lea'S Place Llc
Lea'S Place Llc
Lea'S Place, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225100000X
225100000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland