REGINALD EUGENE DEGRAFENREID

BALTIMORE, MD
NPI1699149492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: MD  R193260)
Additional Taxonomies363LF0000X Nurse Practitioner, Family
(Licence: MD  R193260)
Enumeration Date2015-11-18
Last Update Date2019-09-30
Business Address
REGINALD EUGENE DEGRAFENREID N.P., PMH-NP
1866 REISTERSTOWN RD F
BALTIMORE, MD 21208-1335
Phone number: 410-484-5642
Mailing Address
REGINALD EUGENE DEGRAFENREID N.P., PMH-NP
1411 GLENDALE RD
BALTIMORE, MD 21239-1408
Phone number: 410-733-2544