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NPI 1295156677 - Home Health Aide - 374U00000X

NPI Details
NPI 1295156677
Enumeration Date 01/02/2014
Last Updated 01/02/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name AGNES AGNES
Position REGISTERED NURSE
Phone (240) 492-9462
Fax
Practice Location
7735 RIVERDALE RD APT 203
NEW CARROLLTON MD, 20784-3902, US
Phone (240) 492-9462
Fax
Business Location
7735 RIVERDALE RD APT 203
NEW CARROLLTON MD, 20784-3902, US
Phone
Fax
Toxanomy
Taxonomy Code 374U00000X
License State
License Number
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According to our database, T@n Reliable NPI is 1295156677, taxonomy code is 374U00000X T@n Reliable physically located at 7735 Riverdale Rd Apt 203, New Carrollton MD, 20784-3902. NPI Number 1033115704 has the healthcare provider type.

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1295156677 NPI number is provided on an as is basis without warranty of any kind. 1295156677 is maintained by the National Plan & Provider Enumeration System. The contents of T@n Reliable are for informational purposes only.