Individual
MARIA GORRETTI AYE KODANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
826 RAY RD, HYATTSVILLE, MD 20783-5000
(240) 970-3732
Mailing address
826 RAY RD, HYATTSVILLE, MD 20783-5000
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13703
DC
Other
Enumeration date
07/16/2018
Last updated
07/16/2018
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