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Individual

GBESSIWEDA ANDNEA HANTAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3328 CHAUNCEY PL, MOUNT RAINIER, MD 20712-1030
(301) 237-7685
Mailing address
3328 CHAUNCEY PL, MOUNT RAINIER, MD 20712-1030
(301) 237-7685

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
H535272067093
MD

Other

Enumeration date
05/10/2012
Last updated
05/10/2012
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