Individual
FETELEWORK BEDEYE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8409 14TH AVE, HYATTSVILLE, MD 20783-2423
(240) 688-3368
Mailing address
8409 14TH AVE, HYATTSVILLE, MD 20783-2423
(240) 688-3368
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/03/2018
Last updated
08/03/2018
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