Individual
LUM AWEH BRIDGET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MRS.
Contact information
Practice address
790 FAIRVIEW AVE APT 613, TAKOMA PARK, MD 20912-5961
(240) 424-1906
Mailing address
790 FAIRVIEW AVE APT 613, TAKOMA PARK, MD 20912-5961
(240) 424-1906
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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