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Individual

IDRIS PARAMOLE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6409 LANDOVER RD, APT 102, CHEVERLY, MD 20785-1406
(301) 851-9896
Mailing address
6409 LANDOVER RD, APT 102, CHEVERLY, MD 20785-1406
(301) 851-9896

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
HHA11753
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
064071499
HOME HEALTH AIDE
Enumeration date
04/12/2016
Last updated
04/12/2016
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