Individual
EMBARKA CHAIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11370 PEMBROOKE SQ, WALDORF, MD 20603-4842
(301) 870-0660
Mailing address
12805 PINE TREE LN, FORT WASHINGTON, MD 20744-5355
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R213072
MD
363LF0000X
Family Nurse Practitioner
RN1031526
DC
363LP2300X
Primary Care Nurse Practitioner
R213072
MD
Other
Enumeration date
05/11/2017
Last updated
03/09/2020
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