Individual
MBALU MUNU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8480 IMPERIAL DR, LAUREL, MD 20708-1836
(240) 264-7701
(410) 946-2010
Mailing address
8480 IMPERIAL DR, LAUREL, MD 20708-1836
(240) 264-7701
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
HHA15160
DC
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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