Individual
BENJAMIN DOUGHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8695 GREENBELT RD APT T2, GREENBELT, MD 20770-2440
(240) 705-4440
Mailing address
8695 GREENBELT RD APT T2, GREENBELT, MD 20770-2440
(240) 705-4440
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15483
DC
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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