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Search › Maryland › 101YA0400X

Jordan Licurgo, ADT

NPI 1487243275 · on the registry since 2021

Practice

Address
30007 Business Center Dr
Charlotte Hall, MD 20622
Phone
(301) 997-1300
Organisation at this address
Pyramid Walden Llc
Walden Sierra Corp
Pyramid Walden Llc
Pyramid Walden Llc
Pyramid Walden, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
29

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2021-01-15

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