Healthcare Provider Details

I. General information

NPI: 1508700477
Provider Name (Legal Business Name): MS. XIOMYRA FEBRES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/20/2026
Last Update Date: 04/20/2026
Certification Date: 04/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

114 E LEXINGTON ST APT 201
BALTIMORE MD
21202-1728
US

IV. Provider business mailing address

114 E LEXINGTON ST APT 201
BALTIMORE MD
21202-1728
US

V. Phone/Fax

Practice location:
  • Phone: 410-284-1414
  • Fax:
Mailing address:
  • Phone: 410-284-1414
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number7465
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: