Individual
EMMANUEL MBU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(301) 379-8449
Mailing address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(301) 379-8449
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LP43734
MD
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
HHA4022
DC
Other
Enumeration date
04/10/2009
Last updated
04/11/2023
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