Individual
ETYLINE ABENGHU ALOT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15763 POINTER RIDGE DR, BOWIE, MD 20716-1710
(301) 455-7790
Mailing address
15763 POINTER RIDGE DR, BOWIE, MD 20716-1710
(301) 455-7790
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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