Individual
MISS MIRABELL TIFUH AWASUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6906 22ND PL, HYATTSVILLE, MD 20783-2802
(240) 351-9518
Mailing address
6906 22ND PL, HYATTSVILLE, MD 20783-2802
(240) 351-9518
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
A- 250603793883
MD
Other
Enumeration date
05/16/2012
Last updated
06/13/2023
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