Individual
DENISE JAYNE BAGGOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
491 E 8TH AVE, HOMESTEAD, PA 15120-1901
(412) 464-2101
Mailing address
491 E 8TH AVE, HOMESTEAD, PA 15120-1901
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN267136
PA
Other
Enumeration date
12/04/2020
Last updated
12/04/2020
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