Individual
MS. UTA MICHELLE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
1614 N CALVERT ST, BALTIMORE, MD 21202-2804
(410) 659-4062
Mailing address
1614 N CALVERT ST, BALTIMORE, MD 21202-2804
(410) 659-4062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
A00078002
MD
376K00000X
Nurse's Aide
Primary
A00078002
MD
Other
Enumeration date
02/08/2013
Last updated
02/08/2013
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