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Individual
REGINALD AMADI
Active
Individual
REGINALD AMADI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
R3664
MD
253Z00000X
In Home Supportive Care Agency
Primary
R3664
MD
374U00000X
Home Health Aide
R3664
MD
Other
Enumeration date
02/23/2015
Last updated
02/23/2015
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