SearchMaryland101YP2500X

Liberty Deffenbaugh

NPI 1962134247 · on the registry since 2022 · sole proprietor

Practice

Address
8011 Ponderosa Dr
Severn, MD 21144
Phone
(443) 569-6905

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-05-08

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