Individual
MRS. EDIDIONG PESSU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2685 ORCHARD ORIOLE WAY, ODENTON, MD 21113-3120
(240) 855-8759
Mailing address
2685 ORCHARD ORIOLE WAY, ODENTON, MD 21113-3120
(240) 855-8759
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
R4677P
MD
Other
Enumeration date
12/21/2020
Last updated
01/06/2021
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