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Sidney M Waters

Home Health Aide in Baltimore, MD. Individual provider (NPI-1).

NPI number1164123790
StatusActive
Last updated in NPPESMar 10, 2023

Details

NPI
1164123790
Entity type
Individual (NPI-1)
Name
Sidney M Waters
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 10, 2023
Certification date
Mar 10, 2023
Last updated
Mar 10, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

3330 Ravenwood Ave
Baltimore, MD 21213-1648

Phone 443-929-0406

Mailing address

3330 Ravenwood Ave
Baltimore, MD 21213-1648

Phone 443-929-0406

Other practice locations

3330 Ravenwood Ave
Baltimore, MD 21213-1648

Phone 443-929-0406

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