Individual
ASSIBA APOVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4621 DALLAS PL, TEMPLE HILLS, MD 20748-3308
(571) 839-9109
Mailing address
4621 DALLAS PL, TEMPLE HILLS, MD 20748-3308
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/08/2015
Last updated
07/08/2015
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