Individual
MYLES AYUKETAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8907 TONBRIDGE TER, HYATTSVILLE, MD 20783-2051
(202) 560-1140
Mailing address
8907 TONBRIDGE TER, HYATTSVILLE, MD 20783-2051
(202) 560-1140
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00183392
—
MD
Enumeration date
03/19/2021
Last updated
03/19/2021
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