Individual
EKO ELAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6353 64TH AVE APT C4, RIVERDALE, MD 20737-1501
(281) 818-1426
Mailing address
6353 64TH AVE APT C4, RIVERDALE, MD 20737-1501
(281) 818-1426
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10408
DC
Other
Enumeration date
12/15/2014
Last updated
12/15/2014
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