Individual
REGINA SAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
3525 RESOURCE DR, RANDALLSTOWN, MD 21133-4733
(410) 887-0607
Mailing address
4990C DORSEY HALL DR # 5, ELLICOTT CITY, MD 21042-7702
(410) 887-0607
Taxonomy
Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
RO40122
MD
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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