Individual
NEH TIMA URSLA EPSE MBAKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6827 RIVERDALE RD APT A201, RIVERDALE, MD 20737-3863
(240) 726-9004
Mailing address
6827 RIVERDALE RD APT A201, RIVERDALE, MD 20737-3863
(240) 726-9004
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/27/2024
Last updated
06/27/2024
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