Individual
EMILIA LEM MBONIFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7804 HANOVER PKWY, 102, GREENBELT, MD 20770-2618
(240) 495-4212
Mailing address
7804 HANOVER PKWY, 102, GREENBELT, MD 20770-2618
(240) 495-4212
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12106
DC
Other
Enumeration date
06/28/2016
Last updated
06/28/2016
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