Individual
IYABO ELIPHUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6495 NEW HAMPSHIRE AVE, HYATTSVILLE, MD 20783-3245
(240) 825-3153
Mailing address
10739 CAMPUS WAY S, UPPER MARLBORO, MD 20774-1313
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
376K00000X
Nurse's Aide
A00137337
MD
Other
Enumeration date
10/14/2020
Last updated
09/13/2024
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