Individual
JENET ENGONWEI MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3267 QUEENSTOWN DR, 301, MOUNT RAINIER, MD 20712-1080
(240) 476-1036
Mailing address
3267 QUEENSTOWN DR, 301, MOUNT RAINIER, MD 20712-1080
(240) 476-1036
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
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