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Individual

MISPA AKWESEH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7920 18TH AVE, APT 210, HYATTSVILLE, MD 20783-4534
(240) 643-0280
Mailing address
7920 18TH AVE, APT 210, HYATTSVILLE, MD 20783-4534
(240) 643-0280

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11448
WA

Other

Enumeration date
08/15/2015
Last updated
08/15/2015
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