Individual
CALISTUS AGWO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3610 HAMILTON ST, HYATTSVILLE, MD 20782-3945
(240) 429-2836
Mailing address
3610 HAMILTON ST, HYATTSVILLE, MD 20782-3945
(240) 429-2836
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
03/12/2020
Last updated
10/25/2023
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