Individual
ATEM CYPRAIN EGEMENE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9226 WILLOW LN, ADELPHI, MD 20783-1501
(301) 675-8553
Mailing address
9226 WILLOW LN, ADELPHI, MD 20783-1501
(301) 675-8553
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
E255073107835
MD
Other
Enumeration date
05/10/2012
Last updated
05/10/2012
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