Individual
MIMOSE JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11427 CHERRY HILL RD, BELTSVILLE, MD 20705-3635
(240) 885-5379
Mailing address
11427 CHERRY HILL RD, BELTSVILLE, MD 20705-3635
(240) 885-5379
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005736
DC
Other
Enumeration date
01/02/2026
Last updated
01/02/2026
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