Individual
IRENE NGWEN SUH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7609 RIVERDALE RD APT 325, NEW CARROLLTON, MD 20784-3748
(240) 645-2041
Mailing address
7609 RIVERDALE RD APT 325, NEW CARROLLTON, MD 20784-3748
(240) 645-2041
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13330
DC
Other
Enumeration date
12/18/2017
Last updated
06/16/2018
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