Individual
AYELEVI DOMETO CREPPY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3215 SWANN RD APT 203, SUITLAND, MD 20746-1322
(240) 392-5512
Mailing address
3215 SWANN RD APT 203, SUITLAND, MD 20746-1322
(240) 392-5512
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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