Provider Demographics
NPI:1548843022
Name:ADUM-SANCHEZ, GLADYS EBERE
Entity type:Individual
Prefix:
First Name:GLADYS
Middle Name:EBERE
Last Name:ADUM-SANCHEZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9907 GOOD LUCK RD APT T1
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3247
Mailing Address - Country:US
Mailing Address - Phone:240-487-8905
Mailing Address - Fax:410-946-2010
Practice Address - Street 1:6214 86TH AVE
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-2704
Practice Address - Country:US
Practice Address - Phone:413-204-5052
Practice Address - Fax:410-946-2010
Is Sole Proprietor?:No
Enumeration Date:2021-05-03
Last Update Date:2024-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171M00000X
MDNA0000812069376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No376K00000XNursing Service Related ProvidersNurse's Aide