Individual
MIYANG PHELOMINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
1808 METZEROTT RD APT 36, ADELPHI, MD 20783-5129
(202) 545-0935
Mailing address
1808 METZEROTT RD APT 36, ADELPHI, MD 20783-5129
(202) 545-0935
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1713
DC
Other
Enumeration date
05/16/2012
Last updated
10/04/2024
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