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Emmanuel J Easterling
Student in an Organized Health Care Education/Training Program in Fort George G Meade, Maryland
NPI 1245456086

Emmanuel J Easterling is a Student in an Organized Health Care Education/Training Program based in Fort George G Meade, MD. Emmanuel J Easterling practices in Fort George G Meade, MD. The NPI Number for Emmanuel J Easterling is 1245456086 and holds a License No. (Maryland).

The current practice location address for Emmanuel J Easterling is 2480 Llewellyn Ave, Fort George G Meade, MD and can be reached out via phone at 301-677-8270 and via fax at 301-677-8176.

Location: 2480 Llewellyn Ave, Fort George G Meade, MD, 20755-5800
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245456086
Provider Name
Emmanuel J Easterling
Credential
Provider Entity Type
Individual
Gender
Male
Address
2480 Llewellyn Ave, Fort George G Meade, MD, 20755-5800
Phone Number
301-677-8270
Fax Number
301-677-8176
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2480 Llewellyn Ave
City
Fort George G Meade
State
Maryland
Zip
20755-5800
Phone Number
301-677-8270
Fax Number
301-677-8176
person
Provider Business Mailing Address Details
Address
2480 Llewellyn Ave
City
Fort George G Meade
State
Maryland
Zip
20755-5800
Phone Number
301-677-8270
Fax Number
301-677-8176
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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