Individual
MARIANE ETEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1112 LARCHMONT AVE, CAPITOL HEIGHTS, MD 20743-4015
(240) 495-8539
Mailing address
1112 LARCHMONT AVE, CAPITOL HEIGHTS, MD 20743-4015
(240) 495-8539
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13993
DC
Other
Enumeration date
09/13/2018
Last updated
09/13/2018
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