Individual
FNU RODRICK KOM EBUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7401 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-6945
(301) 728-8020
Mailing address
7401 NEW HAMPSHIRE AVE, TAKOMA PARK, MD 20912-6945
(301) 728-8020
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/03/2021
Last updated
05/10/2021
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