Jomesa De'lice Boone

Specialty details in registry · Columbia, MD

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At a glance

10411 Hickory Ridge Rd Apt B, Columbia, MD 21044-4631

NPPES record updated Aug 14, 2024. Public records can lag behind changes at a practice.

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Practice location

10411 Hickory Ridge Rd Apt B
Columbia, MD 21044-4631
Professional details: NPI, taxonomy & registry record
NPI1306678867
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Registry details

Primary taxonomy
Specialty details in registry
Taxonomy code
374U00000X
Enumeration date
Aug 14, 2024
Record updated
Aug 14, 2024
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

374U00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

10411 Hickory Ridge Rd Apt B
Columbia, MD 21044-4631
Phone
(410) 689-5876
Mailing address
10411 HICKORY RIDGE RD APT B

COLUMBIA, MD 210444631
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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