Individual
JUSTINE COSMAS TAKULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CPR/ FIRST AID
Contact information
Practice address
2400 QUEENS CHAPEL RD APT 103, HYATTSVILLE, MD 20782-3631
(240) 899-0900
(240) 899-0900
Mailing address
2400 QUEENS CHAPEL RD APT 103, HYATTSVILLE, MD 20782-3631
(240) 899-0900
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/09/2017
Last updated
11/09/2017
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