Individual
EMELINE MBANWEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5200 QUINCY ST, BLADENSBURG, MD 20710-2330
(202) 790-9348
Mailing address
5200 QUINCY ST, BLADENSBURG, MD 20710-2330
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276594891
—
DC
Enumeration date
09/02/2020
Last updated
12/15/2020
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