Individual
JEVIS M ACHINGALEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3403 DODGE PARK RD APT 203, HYATTSVILLE, MD 20785-2009
(403) 543-8572
Mailing address
3403 DODGE PARK RD APT 203, HYATTSVILLE, MD 20785-2009
(403) 543-8572
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15733
DC
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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