Individual
MS. MAIZKA NIEVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 HAVEN RD APT A21, HAGERSTOWN, MD 21742-3102
(787) 459-1099
Mailing address
1401 HAVEN RD APT A21, HAGERSTOWN, MD 21742-3102
(787) 459-1099
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6J36PU6XH30
—
MD
Enumeration date
10/14/2021
Last updated
11/03/2021
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