Individual
ELVIS NDESOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2714 KIRKWOOD PL APT 103, HYATTSVILLE, MD 20782-2640
(301) 915-6067
(301) 915-6067
Mailing address
2714 KIRKWOOD PL APT 103, HYATTSVILLE, MD 20782-2640
(301) 915-6067
(301) 915-6067
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
163WH0200X
DC
Other
Enumeration date
10/24/2011
Last updated
07/14/2012
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