Individual
AJIEKAI PERPETUA MBACHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3216 TOLEDO PL APT 104, HYATTSVILLE, MD 20782-8120
(240) 468-5330
Mailing address
3216 TOLEDO PL APT 104, HYATTSVILLE, MD 20782-8120
(240) 468-5330
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/18/2012
Last updated
10/18/2012
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