Individual provider · NPI-1

Fredericka Bockry

Home Health Aide · Oxon Hill, MD

NPI number1659822013
StatusActive
Last updated in NPPESOct 20, 2016

Details

NPI
1659822013
Entity type
Individual (NPI-1)
Name
Fredericka Bockry
Sex
Female
Sole proprietor
No
Enumeration date
Oct 20, 2016
Last updated
Oct 20, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

575 Wilson Bridge Dr Apt B2
Oxon Hill, MD 20745-1810

Phone 301-523-5344

Mailing address

575 Wilson Bridge Dr Apt B2
Oxon Hill, MD 20745-1810

Phone 301-523-5344

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