Individual
JERRIA STOVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 S CLINTON ST, BALTIMORE, MD 21224-5065
(443) 930-0660
Mailing address
PO BOX 3032, BALTIMORE, MD 21229-0032
(443) 930-0660
Taxonomy
Speciality
Code
Description
License number
State
1744P3200X
Prosthetics Case Management
Primary
—
—
225000000X
Orthotic Fitter
—
—
Other
Enumeration date
02/28/2024
Last updated
02/28/2024
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