person
Gregory Maurice Bazemore
Prosthetics Case Management in Temple Hills, Maryland
NPI 1558849034

Gregory Maurice Bazemore is a Prosthetics Case Management based in Temple Hills, MD and is specialized in Prosthetics Case Management. Gregory Maurice Bazemore practices in Temple Hills, MD. The NPI Number for Gregory Maurice Bazemore is 1558849034 and holds a License No. (Maryland).

The current practice location address for Gregory Maurice Bazemore is 3504 Leslie Ave, Temple Hills, MD and can be reached out via phone at 703-955-2567.

Location: 3504 Leslie Ave, Temple Hills, MD, 20748-4634
person
Provider Profile Details
NPI Number
1558849034
Provider Name
Gregory Maurice Bazemore
Credential
Provider Entity Type
Individual
Gender
Male
Address
3504 Leslie Ave, Temple Hills, MD, 20748-4634
Phone Number
703-955-2567
Fax Number
Provider Enumeration Date
08/06/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
83-1473231 01 MD HAIR LOSS PRACTITIONER
83-1473231 05 MD
institution
Provider Business Practice Location Address Details
Address
3504 Leslie Ave
City
State
Zip
20748-4634
Phone Number
703-955-2567
Fax Number
person
Provider Business Mailing Address Details
Address
3504 Leslie Ave
City
State
Zip
20748-4634
Phone Number
703-955-2567
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
License No.
()
Definition
Definition to come...
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