Individual
AGNES R. DATAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
857 SUNNY CHAPEL RD, ODENTON, MD 21113-2536
(202) 374-2744
Mailing address
8035 GEORGIA CT, SEVERN, MD 21144-2662
(443) 557-8320
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00212776
MD
Other
Enumeration date
06/06/2025
Last updated
06/06/2025
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