Individual
REGINA G CHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4514 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8154
(571) 730-8320
Mailing address
4514 BRIDLE RIDGE RD, UPPER MARLBORO, MD 20772-8154
(571) 730-8320
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
—
—
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
374K00000X
Religious Nonmedical Practitioner
—
—
374T00000X
Religious Nonmedical Nursing Personnel
—
—
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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