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Individual

DENIS KODJO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7511 LOCKMAN LN, BELTSVILLE, MD 20705-6310
(240) 350-2553
Mailing address
7511 LOCKMAN LN, BELTSVILLE, MD 20705-6310
(240) 350-2553

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
2281849812010
DC

Other

Enumeration date
11/15/2012
Last updated
11/15/2012
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