Individual
EMMADEXTEL CHE AJEWNSEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10405 GRANDHAVEN AVE, UPPER MARLBORO, MD 20772-6626
(240) 304-9476
Mailing address
10405 GRANDHAVEN AVE, UPPER MARLBORO, MD 20772-6626
(240) 304-9476
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/23/2024
Last updated
12/23/2024
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