Provider Demographics
NPI:1518408525
Name:HOWARD, PAMELA (L AC)
Entity Type:Individual
Prefix:
First Name:PAMELA
Middle Name:
Last Name:HOWARD
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:723 S. CHARLES ST.
Mailing Address - Street 2:SUITE 103
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-3857
Mailing Address - Country:US
Mailing Address - Phone:667-900-3198
Mailing Address - Fax:
Practice Address - Street 1:723 S. CHARLES ST.
Practice Address - Street 2:SUITE 103
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-3857
Practice Address - Country:US
Practice Address - Phone:667-900-3198
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-10
Last Update Date:2022-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0121-000692171100000X
PAAK01269171100000X
VA0121000692171100000X
MDU01914171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist