Individual
ELVIS TINONG MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3504 HUBBARD RD APT 204, HYATTSVILLE, MD 20785-2068
(540) 628-5727
Mailing address
3504 HUBBARD RD APT 204, HYATTSVILLE, MD 20785-2068
(540) 628-5727
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
09/29/2020
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