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Individual

MARY ASO EPSE ANU ACHA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
9749 GOOD LUCK RD APT 8, LANHAM, MD 20706-3324
(240) 810-9412
Mailing address
9749 GOOD LUCK RD APT 8, LANHAM, MD 20706-3324
(240) 810-9412

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
04/14/2021
Last updated
04/14/2021
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