Individual
MIRABEL MBACHI LUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9911 GOOD LUCK RD, LANHAM, MD 20706-3249
(202) 549-8200
Mailing address
9911 GOOD LUCK RD, LANHAM, MD 20706-3249
(202) 549-8200
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2025
Last updated
03/31/2025
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