Individual
STEPHANIE A POTTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
211 S VINCENT ST, BALTIMORE, MD 21223-3040
(301) 919-3040
Mailing address
204 HARLEM RD, PASADENA, MD 21122-2911
(301) 919-3040
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
09/25/2023
Last updated
09/25/2023
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