Individual
MIRANDA HALLOWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6700 BELCREST RD, HYATTSVILLE, MD 20782-1398
(301) 728-2777
Mailing address
6700 BELCREST RD, HYATTSVILLE, MD 20782-1398
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12267
DC
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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