Individual
NEH BOUESELA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3336 PUMPHREY DR, FORESTVILLE, MD 20747-4307
(020) 722-7776
Mailing address
3336 PUMPHREY DR, FORESTVILLE, MD 20747-4307
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/09/2013
Last updated
04/09/2013
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