Individual
LIVINA N OHANUSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1836 METZEROTT RD, ADELPHI, MD 20783-3475
(240) 486-6399
Mailing address
1836 METZEROTT RD, ADELPHI, MD 20783-3475
(240) 486-6399
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNA20202939
—
MD
Enumeration date
02/04/2021
Last updated
02/04/2021
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