Individual
THERESA HAIRSTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
88 DAIMLER DR, CAPITOL HEIGHTS, MD 20743-2757
(240) 729-3425
Mailing address
88 DAIMLER DR, CAPITOL HEIGHTS, MD 20743-2757
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/11/2022
Last updated
02/11/2022
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