Individual
LILY HABTOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6475 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3269
(202) 361-8464
Mailing address
36 HAWAII AVE NE # 2, WASHINGTON, DC 20011-4984
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005738
DC
Other
Enumeration date
12/03/2025
Last updated
12/03/2025
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