Individual
AMBOH ITAMBI PRECIOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9765 LADY SLIPPER CT APT 3D, LAUREL, MD 20723-6342
(240) 761-0228
Mailing address
9765 LADY SLIPPER CT APT 3D, LAUREL, MD 20723-6342
(240) 761-0228
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/28/2022
Last updated
04/28/2022
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