Individual
AWUNGNDEH TABRAZEN JOVITA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 64TH AVE APT 103, HYATTSVILLE, MD 20784-1877
(301) 531-0906
Mailing address
3823 64TH AVE APT 103, HYATTSVILLE, MD 20784-1877
(301) 531-0906
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14098
DC
Other
Enumeration date
10/31/2018
Last updated
10/31/2018
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