Individual
MINETTE UTAMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2418 VIRGINIA AVE APT 104, HYATTSVILLE, MD 20785-3383
(240) 280-4129
Mailing address
2418 VIRGINIA AVE APT 104, HYATTSVILLE, MD 20785-3383
(240) 280-4129
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
08/25/2021
Last updated
08/25/2021
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