Individual
CONSTANTINE SHURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3354 CHILLUM RD APT 301, MOUNT RAINIER, MD 20712-1140
(240) 467-7202
Mailing address
3354 CHILLUM RD APT 301, MOUNT RAINIER, MD 20712-1140
(240) 467-7202
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/24/2016
Last updated
02/24/2016
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