Individual
JENNIFER LARA GAITHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
4401 ROLAND AVE UNIT 502, BALTIMORE, MD 21210-2796
(410) 375-7933
Mailing address
4401 ROLAND AVE UNIT 502, BALTIMORE, MD 21210-2796
(410) 375-7933
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R144822
MD
163W00000X
Registered Nurse
Primary
R144866
MD
Other
Enumeration date
11/19/2021
Last updated
11/19/2021
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