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Individual

MIRABEL SUH TAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5822 MENTANA ST, NEW CARROLLTON, MD 20784-3505
(240) 470-2162
Mailing address
5822 MENTANA ST, NEW CARROLLTON, MD 20784-3505
(240) 470-2162

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14197
DC

Other

Enumeration date
01/21/2019
Last updated
01/21/2019
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