Individual
EFERWA DIMILENA GUETABA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6813 RIGGS RD, #103, HYATTSVILLE, MD 20783-2931
(301) 254-5899
Mailing address
6813 RIGGS RD, #103, HYATTSVILLE, MD 20783-2931
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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