Individual
ANTOINNETTE T MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
621 SHERIDAN ST, HYATTSVILLE, MD 20783-3212
(240) 821-2533
Mailing address
621 SHERIDAN ST, HYATTSVILLE, MD 20783-3212
(240) 821-2533
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15456
DC
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
276565100
—
DC
Enumeration date
09/15/2020
Last updated
05/01/2026
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