Individual
MONA WEST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6008 PECCARY ST, WALDORF, MD 20603-4439
(301) 325-1841
Mailing address
6008 PECCARY ST, WALDORF, MD 20603-4439
(301) 325-1841
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/14/2023
Last updated
09/14/2023
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