Individual
RUBY JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1437 TYLER AVE, ANNAPOLIS, MD 21403-1629
(443) 822-5197
Mailing address
1437 TYLER AVE, ANNAPOLIS, MD 21403-1629
(443) 822-5197
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
L21180021
MD
Other
Enumeration date
01/13/2021
Last updated
01/13/2021
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