Individual
CHE MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
25 EAST WAYNE AVE 401, SILVERSPRING, MD 20901
(240) 713-9303
Mailing address
25 EAST WAYNE AVE 401, SILVERSPRING, MD 20901
(240) 713-9303
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA14806
DC
Other
Enumeration date
01/14/2020
Last updated
02/11/2025
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