Individual
MELVIS EBESOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 CRETIA PL, UPPER MARLBORO, MD 20774-5787
(240) 713-8026
Mailing address
509 CRETIA PL, UPPER MARLBORO, MD 20774-5787
(240) 713-8026
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14281
DC
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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