Individual
LEOLINE EZIAGA EPSE ONEKO N
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
907 RAY RD, HYATTSVILLE, MD 20783-3193
(918) 814-4309
Mailing address
907 RAY RD, HYATTSVILLE, MD 20783-3193
(918) 814-4309
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11653
DC
Other
Enumeration date
03/10/2016
Last updated
03/10/2016
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