Individual
BEATRICE HASSAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14115 PORRINGER CT # 14115, BURTONSVILLE, MD 20866-2062
(240) 616-5231
Mailing address
14115 PORRINGER CT # 14115, BURTONSVILLE, MD 20866-2062
(240) 616-5231
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
MTO129147
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
MTO129147
—
MD
Enumeration date
07/21/2020
Last updated
07/21/2020
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