MEDICARE: MARIE SEJOUR

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
1	3747P1801X	Personal Care Attendant

General Provider Information

NPI Number	:	1982125449
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARIE SEJOUR

Provider Business Mailing Address
First Line	:	1228 WINDMILL LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6054
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1228 WINDMILL LN
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20905-6054
Country	:	US
Telephone Number	:	301-502-5308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2017
Last Update Date	:	07/05/2017

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Directions to “ MARIE SEJOUR ” Practice Location

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