Individual
KERRY HAGGERTY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
219 GREEN ST, WESTERNPORT, MD 21562-1705
(301) 268-9280
Mailing address
219 GREEN ST, WESTERNPORT, MD 21562-1705
(301) 268-9280
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/10/2021
Last updated
06/22/2021
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