Individual
ADJO HOLASE WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9727 MOUNT PISGAH RD APT 512, SILVER SPRING, MD 20903-2010
(240) 641-2954
Mailing address
9727 MOUNT PISGAH RD APT 512, SILVER SPRING, MD 20903-2010
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
HHA12802
DC
Other
Enumeration date
06/21/2017
Last updated
07/20/2023
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