Individual
ERICA EWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCMA, CMT
Contact information
Practice address
2054 N ANVIL LN, TEMPLE HILLS, MD 20748-4269
(301) 630-0869
Mailing address
2054 N ANVIL LN, TEMPLE HILLS, MD 20748-4269
(301) 630-0869
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
MT0111214
MD
251E00000X
Home Health Agency
Primary
L18207613
MD
251J00000X
Nursing Care Agency
Y2K3N2W9
DC
Other
Enumeration date
03/06/2020
Last updated
03/12/2020
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