Individual
MARY T MBAI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 64TH AVE, APT 3, LANDOVER HILLS, MD 20784-1830
(240) 839-8975
Mailing address
3823 64TH AVE, APT 3, LANDOVER HILLS, MD 20784-1830
(240) 839-8975
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/04/2012
Last updated
06/04/2012
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