Individual
MRS. KATHY FAISON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6340 SECURITY BLVD STE 100, GWYNN OAK, MD 21207-5284
(410) 934-6210
Mailing address
6340 SECURITY BLVD STE 100, GWYNN OAK, MD 21207-5284
(410) 934-6210
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
RSA-02747
MD
Other
Enumeration date
01/27/2025
Last updated
01/27/2025
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