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Individual

ELECTA N ACHA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3615 GALLATIN ST, APT#1112, HYATTSVILLE, MD 20782-3967
(202) 722-1725
Mailing address
3615 GALLATIN ST, APT#1112, HYATTSVILLE, MD 20782-3967

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
04/11/2012
Last updated
04/11/2012
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