Individual
MARIE SONIA DATIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10015 GREENBELT RD APT 304, LANHAM, MD 20706-2234
(240) 286-4235
Mailing address
10015 GREENBELT RD APT 304, LANHAM, MD 20706-2234
(240) 286-4235
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P#443467-7665
BOCWM HOME HEALTH AIDE TRAINING CENTER
MD
Enumeration date
05/16/2013
Last updated
07/24/2013
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