Most Relevant Information
Provider Data
| NPI Number: | 1003364365 |
| Provider Name: | THEODORE MEMPANOU |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA12389 |
Most Important Dates
| Enumeration Date: | 09/15/2016 |
| Last Updated: | 09/15/2016 |
Provider Practice Location
18335 LOST KNIFE CIR
APT 303
MONTGOMERY VILLAGE
MD
208860312
Practice Location Phone/Fax
| Phone: | 2405448286 |
| Fax: |
Provider Mailing Location
18335 LOST KNIFE CIR
APT 303
MONTGOMERY VILLAGE
MD
208860312
Provider Mailing Phone/Fax
| Phone: | 2405448286 |
| Fax: |