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Individual

ALBERTINE MILOR DJEUKAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
3521 OTIS ST APT 1, MOUNT RAINIER, MD 20712-2158
(240) 825-8938
Mailing address
3521 OTIS ST APT 1, MOUNT RAINIER, MD 20712-2158
(240) 825-8938

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13485
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HHA13485
DC
Enumeration date
02/12/2018
Last updated
02/12/2018
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