Individual
ASTA E EKOKOBE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2115 RAVENSWOOD ST, HYATTSVILLE, MD 20782-1755
(240) 602-3249
Mailing address
2115 RAVENSWOOD ST, HYATTSVILLE, MD 20782-1755
(240) 602-3249
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/02/2012
Last updated
07/02/2012
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