Individual
BORNITT T ARCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2031 E BELVEDERE AVE, BALTIMORE, MD 21239-3231
(443) 722-9781
Mailing address
2031 E BELVEDERE AVE, BALTIMORE, MD 21239-3231
(443) 722-9781
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
140055
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
83-4329751
—
MD
Enumeration date
06/06/2019
Last updated
08/11/2023
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