Individual
MABEL WIBA KONGNYUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2401 BLUERIDGE AVE, SILVER SPRING, MD 20902-4517
(202) 808-5540
Mailing address
9502 WASHINGTON BLVD, LANHAM, MD 20706-4031
(202) 808-5540
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/10/2024
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