Organization
DEL-MAH MEDICAL & PSYCHIATRIC SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRUDENCE MANCHO CRNP (OWNER)
(301) 807-6957
Entity
Organization
Contact information
Practice address
13101 ENGLISH TURN DR, SILVER SPRING, MD 20904-7341
(301) 807-6957
Mailing address
13101 ENGLISH TURN DR, SILVER SPRING, MD 20904-7341
(301) 807-6957
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087503348
—
DC
Enumeration date
08/31/2021
Last updated
08/31/2021
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