Individual
ASAH NDAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13102 SHINNECOCK DR, SILVER SPRING, MD 20904-7319
(859) 382-0945
Mailing address
13102 SHINNECOCK DR, SILVER SPRING, MD 20904-7319
(859) 382-0945
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12589
DC
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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