Individual
EVA V MAKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7815 MANDAN RD, GREENBELT, MD 20770-2140
(240) 605-3184
Mailing address
7815 MANDAN RD APT 203, GREENBELT, MD 20770-2140
(240) 605-3184
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
LPN200002577
DC
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
06/20/2023
Last updated
06/20/2023
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