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Individual

ELUWLA MBITALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13013 MISTLETOE SPRING RD APT 321, LAUREL, MD 20708
(240) 424-8487
Mailing address
13013 MISTLETOE SPRING RD APT 321, LAUREL, MD 20708-1611
(240) 424-8487

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10014
DC

Other

Enumeration date
12/17/2013
Last updated
12/17/2013
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