Individual
BEDIVINE ASOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10510 FORESTGROVE LN, BOWIE, MD 20721-2828
(814) 822-0716
Mailing address
10510 FORESTGROVE LN, BOWIE, MD 20721-2828
(814) 822-0716
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/03/2024
Last updated
09/03/2024
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