Individual
CAMILLUS MADU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
835 FAIRVIEW AVE, APT. # 6, TAKOMA PARK, MD 20912-5990
(240) 300-3869
Mailing address
835 FAIRVIEW AVE, APT. # 6, TAKOMA PARK, MD 20912-5990
(240) 300-3869
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036061400
—
DC
Enumeration date
02/22/2013
Last updated
03/21/2018
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