Individual
CLIDE F NJEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1812 METZEROTT RD APT 46, ADELPHI, MD 20783-5171
(571) 315-5251
Mailing address
1812 METZEROTT RD APT 46, ADELPHI, MD 20783-5171
(571) 315-5251
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/30/2015
Last updated
04/30/2015
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