Individual
MARY LUM AYUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
202 PINECOVE AVE, ODENTON, MD 21113-1082
(443) 306-9211
Mailing address
202 PINECOVE AVE, ODENTON, MD 21113-1082
(443) 306-9211
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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