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Individual

ANDERSON ROY DJEUTIO QUOIMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
13117 CRUTCHFIELD AVE # MD, BOWIE, MD 20720-3212
(240) 644-3611
Mailing address
702 15TH ST NE, WASHINGTON, DC 20002-4508
(202) 388-8500

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005127
DC

Other

Enumeration date
09/30/2024
Last updated
07/30/2025
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