Individual
IMMACULATE SULIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7417 LEAHY RD, NEW CARROLLTON, MD 20784-3661
(202) 560-4882
Mailing address
7417 LEAHY RD, NEW CARROLLTON, MD 20784-3661
(202) 560-4882
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004886
DC
Other
Enumeration date
05/12/2025
Last updated
05/14/2025
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