Individual
CONSUELO ESPANA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
9765 RIVERSIDE CIR, ELLICOTT CITY, MD 21042-5711
(410) 212-8153
(667) 400-7958
Mailing address
9765 RIVERSIDE CIR, ELLICOTT CITY, MD 21042-5711
(410) 212-8153
(667) 400-7958
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL-00856
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/15/2025
Last updated
08/11/2025
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