Individual
MIRABEL FORCHALEKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 RIVERDALE RD APT 102, NEW CARROLLTON, MD 20784-3906
(240) 413-8559
Mailing address
7733 RIVERDALE RD APT 102, NEW CARROLLTON, MD 20784-3906
(240) 413-8559
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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