Individual
YANICK ATEBA MVIENA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3574 POWDER MILL RD, BELTSVILLE, MD 20705-3525
(240) 491-1605
Mailing address
3574 POWDER MILL RD, BELTSVILLE, MD 20705-3525
(240) 491-1605
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2024
Last updated
07/08/2024
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