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Individual

JEAN ROGER CATHERINE BAANA ATANGANA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
6511 LANDOVER RD APT 103, CHEVERLY, MD 20785-1420
(240) 960-3234
Mailing address
6511 LANDOVER RD APT 103, CHEVERLY, MD 20785-1420
(240) 960-3234

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
02/20/2023
Last updated
02/20/2023
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