Individual
BORIS ACHA ACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3512 54TH AVENUE, HYATTSVILLE, MD 20784
(240) 423-7738
Mailing address
3512 54TH AVE, HYATTSVILLE, MD 20784-1004
(240) 423-7738
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
13019
DC
Other
Enumeration date
08/20/2017
Last updated
07/21/2022
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