Individual
AMAH YAHSON NICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5612 RUATAN ST, BERWYN HEIGHTS, MD 20740-4312
(240) 547-7032
Mailing address
5612 RUATAN ST, BERWYN HEIGHTS, MD 20740-4312
(240) 547-7032
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12383
DC
Other
Enumeration date
09/27/2016
Last updated
09/27/2016
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