Individual
IVY TIFUH MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1515 NOVEMBER CIR APT 201, SILVER SPRING, MD 20904-6947
(240) 641-3330
Mailing address
1515 NOVEMBER CIR APT 201, SILVER SPRING, MD 20904-6947
(240) 641-3330
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14074
DC
Other
Enumeration date
10/19/2018
Last updated
10/19/2018
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