Individual
MIRABEL CHE ATEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
7831 RIVERDALE RD APT 303, NEW CARROLLTON, MD 20784-4016
(240) 581-2134
Mailing address
7831 RIVERDALE RD APT 303, NEW CARROLLTON, MD 20784-4016
(240) 581-2134
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13185
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA13185
HEALTH REGULATION AND LICENSING ADMINISTRATION BOARD OF NURSING
DC
05
—
HHA13185
—
DC
Enumeration date
10/15/2017
Last updated
10/15/2017
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