Individual
MRS. MARLENE YVONNE WAINES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
642 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(240) 535-4783
Mailing address
642 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5954
(240) 535-4783
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/08/2016
Last updated
05/09/2018
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