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Individual

ASA KEITH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1701 E 35TH ST, BALTIMORE, MD 21218-3020
(443) 326-9872
Mailing address
1701 E 35TH ST, BALTIMORE, MD 21218-3020
(443) 326-9872

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MD

Other

Enumeration date
03/13/2025
Last updated
03/13/2025
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