Individual
KEIASHA LATAEY POTTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
GNA
Contact information
Practice address
26 N PARK ST, EASTON, MD 21601-3949
(410) 413-4382
Mailing address
26 N PARK ST, EASTON, MD 21601-3949
(410) 413-4382
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00065128
MD
Other
Enumeration date
05/23/2022
Last updated
05/23/2022
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