Individual
FIDELIS E EBAKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2709 NICHOLSON ST, APT#203, HYATTSVILLE, MD 20782-2811
(202) 722-1725
Mailing address
2709 NICHOLSON ST, APT#203, HYATTSVILLE, MD 20782-2811
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/19/2012
Last updated
05/27/2025
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