NPI 1023463742

Antonio L McCan

Practitioner Community Health Worker Baltimore, MD

Practice location

Address: 2120 Koko Ln, Baltimore, MD 21216-2924
Phone: (443) 392-7698

Registered specialties

Community Health Worker Primary

Other Service Providers Taxonomy 172V00000X Licence M250067485086 (MD)

Other Community Health Worker providers in Maryland →

Registry record

NPI: 1023463742
Entity type: Individual
Sex (as registered): Male
NPI issued: 2 May 2016
Record last updated: 2 May 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.