Individual
JACOB BAMELI NANJE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9254 EDMONSTON RD, GREENBELT, MD 20770-1504
(301) 538-1489
Mailing address
9254 EDMONSTON RD, GREENBELT, MD 20770-1504
(301) 538-1489
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2000020
DC
Other
Enumeration date
07/16/2021
Last updated
07/16/2021
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