Individual
MISS DOMINIQUE CRYSTAL HALLANY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
3425 TOLEDO TER, APT. H3, HYATTSVILLE, MD 20782-1961
(240) 855-3750
Mailing address
3425 TOLEDO TER, APT. H3, HYATTSVILLE, MD 20782-1961
(240) 855-3750
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
10575
DC
Other
Enumeration date
08/04/2014
Last updated
08/04/2014
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