Individual
GUETWINDSIDA S BOUDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3614 DUNNINGTON RD, BELTSVILLE, MD 20705-1021
(929) 374-7146
Mailing address
3614 DUNNINGTON RD, BELTSVILLE, MD 20705-1021
(929) 374-7146
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13215
DC
Other
Enumeration date
03/14/2018
Last updated
03/14/2018
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