Individual
MONA WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7116 PARK HEIGHTS AVE, BALTIMORE, MD 21215-1604
(410) 322-0901
Mailing address
109 W BEL AIR AVE STE 106, ABERDEEN, MD 21001-3221
(443) 910-7930
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
A00044687
MD
Other
Enumeration date
10/13/2014
Last updated
01/24/2021
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