Cheryl D Agyemane

Individual provider Active NPI Home Health Aide · Seat Pleasant, MD

NPI 1295094860 · NPPES record last updated May 16, 2012

Key facts

NPI
1295094860
Entity type
Individual (NPI type 1)
Primary specialty
Home Health Aide 374U00000X
License
A255115139126 (MD)
Practice address
1107 Glen Willow Dr Apt 2
Seat Pleasant, MD 20743-1564
Phone
(202) 702-5358
NPI assigned
May 16, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
A255115139126MDMDHome Health Aide

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Aide 374U00000X A255115139126 MD Yes

Addresses

Primary practice location

1107 Glen Willow Dr Apt 2
Seat Pleasant, MD 20743-1564

Mailing address

1107Glen Willow Dr Apt 2
Seat Pleasant, MD 20743
Phone (202) 702-5358

Other providers in Seat Pleasant, MD

All providers in Seat Pleasant, MD · Home Health Aide in Maryland

Sources for this page

Verify at the official NPI Registry.