Individual
JERSIRA S ATUNGTANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5103 WHITTINGTON LN, UPPER MARLBORO, MD 20772-6009
(240) 898-8964
Mailing address
5103 WHITTINGTON LN, UPPER MARLBORO, MD 20772-6009
(240) 898-8964
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10975
DC
Other
Enumeration date
03/09/2018
Last updated
03/09/2018
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