Individual
MYTAYA M DEVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
822 MAURY AVE, OXON HILL, MD 20745-2857
(202) 236-5160
Mailing address
822 MAURY AVE, OXON HILL, MD 20745-2857
(202) 236-5160
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
4860196
DC
Other
Enumeration date
11/19/2024
Last updated
11/19/2024
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