Individual
LUCIA BEYONGE EKOLLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3813 64TH AVE APT 202, HYATTSVILLE, MD 20784-1850
(240) 764-9964
Mailing address
3813 64TH AVE APT 202, HYATTSVILLE, MD 20784-1850
(240) 764-9964
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11368
DC
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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