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NPI Code Detail

MEDICARE: UNKNOWN ANNA AJOR OTAME

MEDICARE: UNKNOWN ANNA AJOR OTAME
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideHHA200006056DC

General Provider Information

NPI Number : 1447193586
Entity Type Code : Individual
Provider Name (Legal Business Name) : UNKNOWN ANNA AJOR OTAME
Provider Business Mailing Address
First Line : 9007 GOOD LUCK RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3422
Country : US
Telephone Number : 240-606-8880
Fax Number :
Provider Business Practice Location Address
First Line : 9007 GOOD LUCK RD
Second Line :
City : LANHAM
State : MD
Zip : 20706-3422
Country : US
Telephone Number : 240-606-8880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2026
Last Update Date : 04/13/2026

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Directions to “ UNKNOWN ANNA AJOR OTAME ” Practice Location

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