Individual
ISAAC EROMOSELE MOSES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3823 64TH AVE, APT # 4, LANDOVER HILLS, MD 20784-1830
(240) 413-0204
Mailing address
3823 64TH AVE, APT # 4, LANDOVERHILLS, MD 20784-1876
(240) 413-0204
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11062
DC
Other
Enumeration date
03/09/2015
Last updated
06/21/2016
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