Individual
MR. LUCAS ESSOMBA MBARGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1616 WILLOWWOOD CT, HYATTSVILLE, MD 20785-4081
(786) 612-7783
Mailing address
1616 WILLOWWOOD CT, HYATTSVILLE, MD 20785-4081
(786) 612-7783
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15283
DC
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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