Individual
NGWEYA AZIAH ROSE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9311 MYRTLE AVE, BOWIE, MD 20720-3227
(301) 339-3257
Mailing address
9311 MYRTLE AVE, BOWIE, MD 20720
(301) 339-3257
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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