Individual
MBENG ENOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
9332 EDMONSTON RD APT 203, GREENBELT, MD 20770-4346
(240) 705-2502
Mailing address
9332 EDMONSTON RD APT 203, GREENBELT, MD 20770-4346
(240) 705-2502
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
LPN1007418
DC
Other
Enumeration date
10/03/2014
Last updated
10/03/2014
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