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ALIEN NYUNYELA TITA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7009 HIGHVIEW TER APT 104, HYATTSVILLE, MD 20782-4034
(614) 266-1280
Mailing address
7009 HIGHVIEW TER APT 104, HYATTSVILLE, MD 20782-4034
(614) 266-1280

Taxonomy

Speciality
Code
Description
License number
State
171WV0202X
Vehicle Modifications Contractor
DC
374U00000X
Home Health Aide
Primary
HHA12250
DC

Other

Enumeration date
08/31/2016
Last updated
08/31/2016
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