Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | H0080207 | MD |
NPI | 1003189515 |
---|---|
Provider Name | Dr. Cheryl Lourdes Mejia |
First Address | Hunt Valley, MD 21031-1002 |
Second Address | Hagerstown, MD 21740-4100 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/02/2012 |
Last Update Date | 21/02/2017 |