Individual
MISS FNU EDITH ANWI NDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4203 OGLETHORPE ST, HYATTSVILLE, MD 20781-1533
(301) 640-9480
Mailing address
4203 OGLETHORPE ST, HYATTSVILLE, MD 20781-1533
(301) 640-9480
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA7357
DC
Other
Enumeration date
09/11/2013
Last updated
09/11/2013
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