Individual
KDUSAN WELELIBANOS HADGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6138 QUIET TIMES, COLUMBIA, MD 21045-7427
(202) 751-0571
Mailing address
6138 QUIET TIMES, COLUMBIA, MD 21045-7427
(202) 751-0571
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
AOO205969
DC
Other
Enumeration date
07/24/2023
Last updated
07/24/2023
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