Individual
MYENNE HANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5002 ASHFORD DR, UPPER MARLBORO, MD 20772
(301) 291-8680
Mailing address
5002 ASHFORD DR, UPPER MARLBORO, MD 20772-2794
(301) 291-8680
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13779
—
Other
Enumeration date
06/28/2018
Last updated
07/02/2018
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