Individual
EYAH GLADYS MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
7839 JACOBS DR, GREENBELT, MD 20770
(301) 323-5335
Mailing address
7839 JACOBS DR, GREENBELT, MD 20770-2462
(301) 323-5335
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1007512
DC
Other
Enumeration date
04/02/2012
Last updated
11/02/2018
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