Individual
EDNA NDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1500 BRIGHTSEAT ROAD, HYATTSVILLE, MD 20785
(240) 630-9746
Mailing address
1500 BRIGHTSEAT RD, HYATTSVILLE, MD 20785-3747
(240) 630-9746
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/23/2015
Last updated
12/18/2024
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