Fidelis E Ebako

NPI 1043577620 - Home Health Aide - 374U00000X

NPI Details
NPI 1043577620
Gender Male
Enumeration Date 04/19/2012
Last Updated 04/19/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
2709 NICHOLSON ST
APT#203
HYATTSVILLE MD, 20782-2811, US
Phone (202) 722-1725
Fax
Business Location
2709 NICHOLSON ST
APT#203
HYATTSVILLE MD, 20782-2811, US
Phone
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, Fidelis E Ebako NPI is 1043577620, taxonomy code is 374U00000X Fidelis E Ebako physically located at 2709 Nicholson St, Hyattsville MD, 20782-2811. NPI Number Fidelis E Ebako has the Individual type.

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1043577620 NPI number is provided on an as is basis without warranty of any kind. 1043577620 is maintained by the National Plan & Provider Enumeration System. The contents of Fidelis E Ebako are for informational purposes only.