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Individual

JENNIFER TAGGART

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
15 W AYLESBURY RD STE 600, LUTHERVILLE TIMONIUM, MD 21093-4168
(410) 575-1200
(855) 715-2506
Mailing address
15 W AYLESBURY RD STE 600, LUTHERVILLE TIMONIUM, MD 21093-4168
(800) 359-9400
(855) 715-2506

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP41999
MD

Other

Enumeration date
03/04/2022
Last updated
03/04/2022
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