Reginald Hairston

NPI #1568050730 in Baltimore, Maryland

Provider Information

NPI Number: 1568050730
Entity Type: Individual
Name: Reginald Hairston
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Jan 4, 2021
Last Updated: Jan 4, 2021

Practice Location

Address: 14 S BROADWAY
City: Baltimore
State: Maryland
ZIP Code: 21231-1712
Phone: (410) 276-1773

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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