Individual
CHARLOTTE ENYONG OBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5978
(240) 791-2245
Mailing address
780 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5978
(240) 791-2245
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200003229
DC
Other
Enumeration date
12/07/2023
Last updated
12/07/2023
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