Individual
SOPHIA BLUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
715 MOUNT HOLLY ST, BALTIMORE, MD 21229-1966
(443) 854-1377
Mailing address
715 MOUNT HOLLY ST, BALTIMORE, MD 21229-1966
(443) 854-1377
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
04/04/2022
Last updated
05/04/2023
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