Individual
NDOH MYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 GRIST STONE WAY, OWINGS MILLS, MD 21117-1376
(443) 839-4411
Mailing address
100 GRIST STONE WAY, OWINGS MILLS, MD 21117-1376
(443) 839-4411
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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