Individual
KEILEY MICHELE VANDERGRIFT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
21106 CREEK SIDE DR SW, WESTERNPORT, MD 21562-2001
(304) 788-7670
Mailing address
21106 CREEK SIDE DR SW, WESTERNPORT, MD 21562-2001
(304) 788-7670
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/03/2020
Last updated
07/09/2021
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