Individual
NOELA TEBID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5225 KENILWORTH AVE APT 202, HYATTSVILLE, MD 20781-2850
(301) 541-4073
Mailing address
5225 KENILWORTH AVE APT 202, HYATTSVILLE, MD 20781-2850
(301) 541-4073
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12191
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12191
HOME HEALTH AIDE
DC
Enumeration date
06/29/2016
Last updated
06/29/2016
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