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Individual

ELISE LOVELINE DJUNKEP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3922 BLACKBURN LN APT 13, BURTONSVILLE, MD 20866-1265
(917) 774-1381
Mailing address
3922 BLACKBURN LN APT 13, BURTONSVILLE, MD 20866-1265
(917) 774-1381

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00166533
MD

Other

Enumeration date
08/03/2021
Last updated
08/03/2021
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