Individual
LUCAS ACHA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HOME HEALTH AIDE
Contact information
Practice address
9226 WILLOW LN, ADELPHI, MD 20783-1501
(907) 331-8193
Mailing address
9226 WILLOW LN, ADELPHI, MD 20783-1501
(907) 331-8193
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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