Jude Anong Acha
Technician, Attendant Care Provider in Laurel, MD. Individual provider (NPI-1).
NPI number1942040001
StatusActive
Last updated in NPPESMay 28, 2024
Details
- NPI
- 1942040001
- Entity type
- Individual (NPI-1)
- Name
- Jude Anong Acha
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 28, 2024
- Certification date
- May 28, 2024
- Last updated
- May 28, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747A0650X | Technician, Attendant Care Provider | 10083836 | MD | Yes |
Practice location
14400 W Side Blvd Apt 400Laurel, MD 20707-6266
Phone 240-564-8645
Mailing address
14400 W Side Blvd Apt 400Laurel, MD 20707-6266
Phone 240-564-8645
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