Individual
PHYLLIS ELIZABETH DIUBALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
421 HAMMOND ST APT 305, WESTERNPORT, MD 21562-1224
(301) 359-9274
Mailing address
421 HAMMOND ST APT 305, WESTERNPORT, MD 21562-1224
(301) 359-9274
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
12/18/2020
Last updated
12/18/2020
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