DESTAING OGU

BLADENSBURG, MD
NPI1205187978
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Additional Taxonomies3747P1801X Technician, Personal Care Attendant
Enumeration Date2012-09-21
Last Update Date2024-02-23
Business Address
DESTAING OGU
4203 55TH AVE
BLADENSBURG, MD 20710-1507
Phone number: 202-545-0935
Mailing Address
DESTAING OGU
4203 55TH AVE
BLADENSBURG, MD 20710-1507
Phone number: 202-545-0935
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