Individual
MISS EDWAN AGWAH MBAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
104 STEEPLE CHASE WAY, UPPER MARLBORO, MD 20774-1132
(240) 441-3944
Mailing address
5914 85TH AVE, NEW CARROLLTON, MD 20784-2802
(240) 441-3944
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/28/2012
Last updated
03/31/2023
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