Individual
MRS. VIDANA A JAYAWARDANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3613 DELLABROOKE ST, OLNEY, MD 20832-1028
(301) 326-7425
(240) 833-3256
Mailing address
3613 DELLABROOKE ST, OLNEY, MD 20832-1028
(301) 326-7425
(240) 833-3256
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
MT0042916
MD
Other
Enumeration date
05/12/2022
Last updated
05/12/2022
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