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NPI Code Detail

MEDICARE: DELORES SNYDER

MEDICARE:   DELORES  SNYDER
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 : 1144581158
Entity Type Code : Individual
Provider Name (Legal Business Name) : DELORES SNYDER
Provider Business Mailing Address
First Line : 4927 GLASSMANOR DR
Second Line : # 201
City : OXON HILL
State : MD
Zip : 20745-2815
Country : US
Telephone Number : 301-518-1970
Fax Number :
Provider Business Practice Location Address
First Line : 4927 GLASSMANOR DR
Second Line : # 201
City : OXON HILL
State : MD
Zip : 20745-2815
Country : US
Telephone Number : 301-518-1970
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/06/2012
Last Update Date : 06/06/2012

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