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1720840382
ITA M SHU
GLENN DALE, MD
NPI
1720840382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA200003055)
Enumeration Date
2024-01-29
Last Update Date
2025-02-03
Business Address
ITA M SHU
10712 MARIETTA ST
GLENN DALE, MD 20769-9405
Phone number: 240-510-4293
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Mailing Address
ITA M SHU
10712 MARIETTA ST
GLENN DALE, MD 20769-9405
Phone number: 240-510-4293
Copy
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