Ebot Nso Therese Achuo
Home Health Aide in Laurel, MD. Individual provider (NPI-1).
NPI number1952053936
StatusActive
Last updated in NPPESJan 21, 2022
Details
- NPI
- 1952053936
- Entity type
- Individual (NPI-1)
- Name
- Ebot Nso Therese Achuo
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 21, 2022
- Certification date
- Jan 21, 2022
- Last updated
- Jan 21, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 374U00000X | Home Health Aide | – | – | Yes |
Practice location
200 Fort Meade Rd Apt 810Laurel, MD 20707-4417
Phone 240-360-8234
Mailing address
200 Fort Meade Rd Apt 810Laurel, MD 20707-4417
Phone 240-360-8234
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