Individual
HERMINA WIDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7751 RIVERDALE RD APT T2, NEW CARROLLTON, MD 20784-3916
(301) 458-9216
Mailing address
7751 RIVERDALE RD, NEW CARROLLTON, MD 20784-3916
(301) 458-9216
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13025
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA13025
HOME HEALTH AIDE
MD
Enumeration date
09/29/2017
Last updated
09/29/2017
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