Individual
MARIA PHILLIP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8232 14TH AVENUE #302, HYATTSVILLE, MD 20783
(347) 909-4515
Mailing address
8232 14TH AVENUE #302, HYATTSVILLE, MD 20783
(347) 909-4515
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/12/2012
Last updated
07/12/2012
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