Individual
MR. CARLSON MBAH MBAKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3212 CHILLUM RD APT 101, MOUNT RAINIER, MD 20712-1047
(240) 564-8206
Mailing address
3212 CHILLUM RD APT 101, MOUNT RAINIER, MD 20712-1047
(240) 564-8206
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004244
DC
Other
Enumeration date
09/24/2024
Last updated
09/24/2024
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