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NPI Code Detail

MEDICARE: EVELYN ANGU

MEDICARE: EVELYN ANGU
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 : 1649524885
Entity Type Code : Individual
Provider Name (Legal Business Name) : EVELYN ANGU
Provider Business Mailing Address
First Line : 10308 NEW HAMPSHIRE AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-1413
Country : US
Telephone Number : 301-343-7705
Fax Number :
Provider Business Practice Location Address
First Line : 10308 NEW HAMPSHIRE AVE
Second Line :
City : SILVER SPRING
State : MD
Zip : 20903-1413
Country : US
Telephone Number : 301-343-7705
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/08/2012
Last Update Date : 11/08/2012

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Directions to “ EVELYN ANGU ” Practice Location

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