Provider Demographics
NPI:1144581158
Name:SNYDER, DELORES
Entity Type:Individual
Prefix:
First Name:DELORES
Middle Name:
Last Name:SNYDER
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 1:4927 GLASSMANOR DR
Mailing Address - Street 2:# 201
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-2815
Mailing Address - Country:US
Mailing Address - Phone:301-518-1970
Mailing Address - Fax:
Practice Address - Street 1:4927 GLASSMANOR DR
Practice Address - Street 2:# 201
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-2815
Practice Address - Country:US
Practice Address - Phone:301-518-1970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-06
Last Update Date:2012-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide