Most Relevant Information
Provider Data
| NPI Number: | 1003244195 |
| Provider Name: | PRISCO CHAPAJONG |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 10/29/2013 |
| Last Updated: | 10/29/2013 |
Provider Practice Location
4726 MANGUM RD
COLLEGE PARK
MD
207401446
Practice Location Phone/Fax
| Phone: | 2404135780 |
| Fax: | 2027221726 |
Provider Mailing Location
4726 MANGUM RD
COLLEGE PARK
MD
207401446
Provider Mailing Phone/Fax
| Phone: | 2404135780 |
| Fax: | 2027221726 |