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NPI Code Detail

MEDICARE: GERALDINE ABOH ACHA

MEDICARE:   GERALDINE ABOH  ACHA
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 Aide

General Provider Information

NPI Number : 1871362723
Entity Type Code : Individual
Provider Name (Legal Business Name) : GERALDINE ABOH ACHA
Provider Business Mailing Address
First Line : 1412 CANADIEN GEESE CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7062
Country : US
Telephone Number : 240-486-4695
Fax Number :
Provider Business Practice Location Address
First Line : 1412 CANADIEN GEESE CT
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-7062
Country : US
Telephone Number : 240-486-4695
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2023
Last Update Date : 12/20/2023

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Directions to “ GERALDINE ABOH ACHA ” Practice Location

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