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1104490598
JEVIS M ACHINGALEH
HYATTSVILLE, MD
NPI
1104490598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA15733)
Enumeration Date
2021-05-19
Last Update Date
2021-05-19
Business Address
JEVIS M ACHINGALEH
3403 DODGE PARK RD APT 203
HYATTSVILLE, MD 20785-2009
Phone number: 403-543-8572
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Mailing Address
JEVIS M ACHINGALEH
3403 DODGE PARK RD APT 203
HYATTSVILLE, MD 20785-2009
Phone number: 403-543-8572
Copy
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