Individual
ONO ACHALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2318 TERRAPIN XING, JESSUP, MD 20794-9830
(240) 533-1568
Mailing address
2318 TERRAPIN XING, JESSUP, MD 20794-9830
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP42785
MD
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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