Individual
MISS AGNES EBAGGE ENEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
2736 ZEEK LN, GLENARDEN, MD 20706-1405
(240) 960-8565
Mailing address
2736 ZEEK LN, GLENARDEN, MD 20706-1405
(240) 960-8565
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003621
DC
Other
Enumeration date
05/08/2024
Last updated
12/20/2024
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