Individual
MBAH JOSEPHINE ENDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4660 MARTIN LUTHER KING JR AVE SW STE A2, WASHINGTON, DC 20032-4933
(202) 318-0179
Mailing address
10005 E FRANKLIN AVE, GLENN DALE, MD 20769-9279
(240) 551-4427
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008771
DC
251S00000X
Community/Behavioral Health Agency
—
DC
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
06/07/2012
Last updated
03/13/2026
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