Individual
HENRIETTE D WETCHOKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5002 57TH AVE APT C7, BLADENSBURG, MD 20710-1662
(301) 683-4702
Mailing address
5002 57TH AVE APT C7, BLADENSBURG, MD 20710-1662
(301) 683-4702
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13845
DC
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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