EVARISTUS MALLE SUMELONG

UPPER MARLBORO, MD
NPI1023750403
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2022-04-07
Last Update Date2022-04-07
Business Address
Mr. EVARISTUS MALLE SUMELONG
100 HERRINGTON DR
UPPER MARLBORO, MD 20774-1508
Phone number: 240-704-4808
Mailing Address
Mr. EVARISTUS MALLE SUMELONG
100 HERRINGTON DR
UPPER MARLBORO, MD 20774-1508
Phone number: 240-704-4808
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