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Individual

EDWARD HARBOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
10900 ELON DR, BOWIE, MD 20720-3556
(301) 273-4761
Mailing address
10900 ELON DR, BOWIE, MD 20720-3556
(301) 273-4761

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11381
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHA11381
DOH
DC
Enumeration date
07/03/2015
Last updated
07/03/2015
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