Individual
MILAGRO DEJESUS HERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
463 MADISON ST NE # NE877, WASHINGTON, DC 20011-6220
(877) 659-4500
Mailing address
2114 RUATAN ST, HYATTSVILLE, MD 20783-2170
(301) 237-1390
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
12/01/2023
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