Individual
MARY ASOH NIBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2041 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-7024
(202) 547-8450
Mailing address
9921 ROYAL COMMERCE PL, UPPER MARLBORO, MD 20774-1160
(410) 330-5577
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
06/21/2012
Last updated
03/16/2023
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