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Individual

REGINA SUTHERLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
114 GREEN ST, WESTERNPORT, MD 21562-1704
(304) 749-8025
Mailing address
114 GREEN ST, WESTERNPORT, MD 21562-1704
(304) 749-8025

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
10/02/2020
Last updated
07/09/2021
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