Individual
EMMANUELLA NAIN SAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9931 GREENBELT RD APT 203, LANHAM, MD 20706-2222
(240) 486-4508
Mailing address
9931 GREENBELT RD APT 203, LANHAM, MD 20706-2222
(240) 486-4508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
1054509
DC
163WH0200X
Home Health Registered Nurse
1054509
DC
Other
Enumeration date
04/14/2020
Last updated
04/14/2020
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