Individual
CARLA MARISOL MENJIVAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5604 PATTERSON ST, RIVERDALE, MD 20737-2832
(240) 705-4736
Mailing address
5604 PATTERSON ST, RIVERDALE, MD 20737-2832
(240) 705-4736
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/28/2023
Last updated
12/28/2023
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