Individual
ELVIS Y CHI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
13141 LARCHDALE RD, LAUREL, MD 20708-1724
(240) 481-1867
Mailing address
13141 LARCHDALE RD, LAUREL, MD 20708
(240) 481-1867
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
171M00000X
MD
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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