Individual
LATARSHA REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3942 PENHURST AVE, BALTIMORE, MD 21215-5666
(443) 872-9179
Mailing address
3942 PENHURST AVE, BALTIMORE, MD 21215-5666
(443) 872-9179
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
R4904
MD
Other
Enumeration date
10/21/2021
Last updated
10/21/2021
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