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Individual

ACHUO AGBOR SUSAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5902 31ST AVE APT 615, HYATTSVILLE, MD 20782-2911
(301) 237-8453
Mailing address
5902 31ST AVE APT 615, HYATTSVILLE, MD 20782-2911
(301) 237-8453

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12244
DC

Other

Enumeration date
08/09/2016
Last updated
08/09/2016
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