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Individual

AMBOMATEH ADONISE AKUNJI SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7124 MEADOW GREEN TER, HYATTSVILLE, MD 20785-5814
(301) 404-5523
Mailing address
7124 MEADOW GREEN TER, HYATTSVILLE, MD 20785-5814
(301) 404-5523

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13478
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
11382321500
MD
Enumeration date
05/01/2018
Last updated
05/01/2018
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