Search › Maryland › 101YA0400X

Jequetta Borum

NPI 1942826748 · on the registry since 2020 · sole proprietor

Practice

Address
4908 Oakland Park Rd
Randallstown, MD 21133
Phone
(443) 909-2034

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Sex
Female
Record last updated
2020-06-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland