Individual
COURTNEY VANDERGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21106 CREEK SIDE DR SW, WESTERNPORT, MD 21562-2001
(301) 723-0144
Mailing address
21106 CREEK SIDE DR SW, WESTERNPORT, MD 21562-2001
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
07/23/2020
Last updated
07/07/2021
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