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NPI Code Detail

MEDICARE: MARIE TAKEM AZIENWI

MEDICARE:   MARIE  TAKEM AZIENWI
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 Aide12072DC

General Provider Information

NPI Number : 1114372562
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIE TAKEM AZIENWI
Provider Business Mailing Address
First Line : 10232 PRINCE PL
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1222
Country : US
Telephone Number : 240-755-2266
Fax Number :
Provider Business Practice Location Address
First Line : 10232 PRINCE PL
Second Line :
City : UPPER MARLBORO
State : MD
Zip : 20774-1222
Country : US
Telephone Number : 240-755-2266
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2016
Last Update Date : 05/16/2016

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Directions to “ MARIE TAKEM AZIENWI ” Practice Location

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