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Individual provider · Home Health Aide · Forestville, MD

NPI
1104187863
Type
Individual (Type 1)
Primary specialty
Home Health Aide
Specialty group
Nursing Service Related Providers
Taxonomy code
374U00000X
License number
2426105 (DC)
Sex
Female
Sole proprietor
No
Enumerated
2012-05-30
Last updated
2012-05-30
Practice location
6142 Surrey Square Ln, Apt 203
Forestville, MD 20747-2918
(202) 520-9203

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