Individual
JESSICA LYNN GALLATIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4 BUTTONWOOD LN, PORT DEPOSIT, MD 21904-1614
(443) 845-5748
Mailing address
4 BUTTONWOOD LN, PORT DEPOSIT, MD 21904-1614
(443) 845-5748
Taxonomy
Speciality
Code
Description
License number
State
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
376K00000X
Nurse's Aide
—
—
Other
Enumeration date
11/02/2023
Last updated
11/02/2023
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