Individual
MBAH EFON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11032 AMHERST AVE, SILVER SPRING, MD 20902-7627
(301) 728-1049
Mailing address
11032 AMHERST AVE, SILVER SPRING, MD 20902-7627
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14306
DC
Other
Enumeration date
02/18/2019
Last updated
02/18/2019
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