DERICK AMIN ATABONG

LAUREL, MD
NPI1821436288
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
(Licence: DC  4645)
Additional Taxonomies376K00000X Nurse's Aide
(Licence: DC  4645)
Enumeration Date2013-06-07
Last Update Date2013-06-07
Business Address
Mr. DERICK AMIN ATABONG hha
13125 LARCHDALE RD APT 7
LAUREL, MD 20708
Phone number: 240-646-4085
Mailing Address
Mr. DERICK AMIN ATABONG hha
13125 LARCHDALE RD APT 7
LAUREL, MD 20708
Phone number: 240-646-4085