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1104571207
ADOLPHINE DIWA
FREDERICK, MD
NPI
1104571207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: MD A00198292)
Enumeration Date
2022-02-16
Last Update Date
2022-02-16
Business Address
ADOLPHINE DIWA
35 VICTORIA SQ
FREDERICK, MD 21702-1114
Phone number: 301-956-6141
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Mailing Address
ADOLPHINE DIWA
35 VICTORIA SQ
FREDERICK, MD 21702-1114
Phone number: 240-224-6868
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