Individual
MARY K. ZACHARIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3611 GALLATIN ST, WEST HYATTSVILLE, MD 20782-3934
(240) 706-2215
Mailing address
3611 GALLATIN ST, WEST HYATTSVILLE, MD 20782-3934
(240) 706-2215
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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