IndividualActive
Tyrahna Jefferson, CRANIAL PROSTHESIS
NPI 1649629064 · Prosthetics Case Management · Baltimore, MD
Provider details
- NPI number
- 1649629064
- Entity type
- Individual
- Primary specialty
- Prosthetics Case ManagementOther Service Providers
- Credential
- CRANIAL PROSTHESIS
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Other Service Providers
- Reflexologist173C00000X
Other Service Providers
- Specialist174400000X
Other Service Providers
Practice location
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Phone: (410) 304-3127
Approximate (ZIP-level) locationGet directions
Mailing address
6340 Security Blvd Ste 100
Baltimore, MD 21207-5284
Registry dates
- Enumerated
- 2016-06-07
- Last updated
- 2023-08-14
- Certified
- 2023-08-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.