Individual
MARTHA NACH MANYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
9871 GOOD LUCK RD APT T2, LANHAM, MD 20706-3206
(240) 906-0944
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
376K00000X
Nurse's Aide
A00172229
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00172229
—
MD
Enumeration date
09/15/2020
Last updated
09/26/2023
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