Individual
JUDITH N MBIDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
14101 CORUNNA CT, LAUREL, MD 20707-6901
(240) 753-4946
Mailing address
14101 CORUNNA CT, LAUREL, MD 20707-6901
(240) 753-4946
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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