Individual
MARY EFUETNKENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11636 STEWART LN, SILVER SPRING, MD 20904-2485
(301) 254-4454
Mailing address
11636 STEWART LN, SILVER SPRING, MD 20904-2485
(301) 254-4454
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/02/2024
Last updated
10/02/2024
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