Most Relevant Information
Provider Data
| NPI Number: | 1003552928 |
| Provider Name: | SUSAN AMBISAH |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: | HHA200001758 |
Most Important Dates
| Enumeration Date: | 05/12/2022 |
| Last Updated: | 05/12/2022 |
Provider Practice Location
10804 RIVER OAKS TER
BOWIE
MD
207212355
Practice Location Phone/Fax
| Phone: | 2029403605 |
| Fax: |
Provider Mailing Location
10804 RIVER OAKS TER
BOWIE
MD
207212355
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |