Individual
JUDE ANONG ACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14400 W SIDE BLVD APT 400, LAUREL, MD 20707-6266
(240) 564-8645
Mailing address
14400 W SIDE BLVD APT 400, LAUREL, MD 20707-6266
(240) 564-8645
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
10083836
MD
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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