Individual
MARY AIZENOFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 E DIAMOND AVE APT 3070, GAITHERSBURG, MD 20877-3262
(240) 855-8906
Mailing address
350 E DIAMOND AVE APT 3070, GAITHERSBURG, MD 20877-3262
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00155811
MD
Other
Enumeration date
06/09/2021
Last updated
06/09/2021
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