Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207SG0201X | Clinical Genetics (M.D.) | 77700361205 | UT |
N | 207SG0201X | Clinical Genetics (M.D.) | MD040690 | DC |
NPI | 1104056738 |
---|---|
Provider Name | Dr. Eyby Luz Leon Janampa |
First Address | Baltimore, MD 21297-3215 |
Second Address | Washington, DC 20010-2916 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/07/2009 |
Last Update Date | 26/11/2012 |