Individual
JARED BAGGETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
401 N BROADWAY ST, BALTIMORE, MD 21287-0019
(412) 508-9145
Mailing address
108 CHAUCER CT, MOON TOWNSHIP, PA 15108-3200
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/20/2025
Last updated
05/20/2025
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