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NPI 1093609604

IndividualActive

Agnes Datan

NPI 1093609604 · Nurse's Aide · Odenton, MD

Provider details

NPI number: 1093609604
Entity type: Individual
Primary specialty: Nurse's AideNursing Service Related Providers
Sex: Female
Sole proprietor: Yes
License: A00212776 (MD)

Practice location

857 Sunny Chapel Rd

Odenton, MD 21113-2536

Phone: (202) 374-2744

More MD providers

Mailing address

8035 Georgia Ct

Severn, MD 21144-2662

Registry dates

Enumerated: 2025-06-06
Last updated: 2025-06-06

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Agnes Datan — NPI 1093609604, Odenton, MD | NPI Central