Individual
NELLY SHIYNYUY GHAAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7000 RIVERDALE RD, LANHAM, MD 20706-1100
(240) 495-4387
Mailing address
7000 RIVERDALE RD, LANHAM, MD 20706-1100
(240) 495-4387
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
376K00000X
Nurse's Aide
HHA11916
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41705241500
—
MD
Enumeration date
04/06/2016
Last updated
04/04/2018
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