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Individual

BERTH MEFEUKAMGUA EPSE DJOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1121 NALLEY RD APT 211, HYATTSVILLE, MD 20785-4431
(407) 096-6002
Mailing address
1121 NALLEY RD APT 211, HYATTSVILLE, MD 20785-4431
(407) 096-6002

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003727
DC

Other

Enumeration date
05/08/2024
Last updated
05/08/2024
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