Individual
HUGO JAYASURIYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNA
Contact information
Practice address
3440 FAIRFAX RD, ELLICOTT CITY, MD 21042-1696
(410) 940-9527
Mailing address
6036 CHARLES EDWARD TER, COLUMBIA, MD 21045-5096
(732) 277-4490
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00139732
MD
Other
Enumeration date
11/02/2022
Last updated
11/02/2022
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