Individual
MR. ETA-MANYI P MANGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7001 96TH AVE, LANHAM, MD 20706-3615
(301) 534-9680
Mailing address
7001 96TH AVE, LANHAM, MD 20706-3615
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
05/03/2013
Last updated
05/03/2013
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