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Individual

MYRIAM ISANOA TREJOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
312 CARROLL AVE, LAUREL, MD 20707-4316
(240) 883-2187
Mailing address
312 CARROLL AVE, LAUREL, MD 20707-4316
(240) 883-2187

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004317
DC
376K00000X
Nurse's Aide
MD

Other

Enumeration date
07/19/2022
Last updated
11/04/2024
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