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Anelsy Johanna Roa-made
Student in an Organized Health Care Education/Training Program in Hyattsville, Maryland
NPI 1750742268

Anelsy Johanna Roa-made is a Student in an Organized Health Care Education/Training Program based in Hyattsville, MD. Anelsy Johanna Roa-made practices in Hyattsville, MD. The NPI Number for Anelsy Johanna Roa-made is 1750742268 and holds a License No. HHA11858 (Maryland).

The current practice location address for Anelsy Johanna Roa-made is 2629 Nicholson St, Hyattsville, MD and can be reached out via phone at 240-204-4710.

Location: 2629 Nicholson St, Hyattsville, MD, 20782
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750742268
Provider Name
Anelsy Johanna Roa-made
Credential
Provider Entity Type
Individual
Gender
Female
Address
2629 Nicholson St, Hyattsville, MD, 20782
Phone Number
240-204-4710
Fax Number
Provider Enumeration Date
03/10/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2629 Nicholson St
City
Hyattsville
State
Maryland
Zip
20782-2680
Phone Number
240-204-4710
Fax Number
person
Provider Business Mailing Address Details
Address
2629 Nicholson St
City
Hyattsville
State
Maryland
Zip
20782-2680
Phone Number
240-204-4710
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
HHA11858 (District of Columbia)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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