Individual
MRS. ETHEL DELORES HINES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
2105 MEADOWVIEW DR, BALTIMORE, MD 21207-5314
(410) 444-1529
Mailing address
2105 MEADOWVIEW DR, BALTIMORE, MD 21207-5314
(410) 444-1529
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A-00005701
MD
Other
Enumeration date
06/01/2009
Last updated
06/01/2009
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