Individual
BELTA MANGWEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9400 BUENA VISTA AVE, LANHAM, MD 20706-3006
(240) 413-4060
Mailing address
9400 BUENA VISTA AVE, LANHAM, MD 20706-3006
(240) 413-4060
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
HHA200001339
DC
Other
Enumeration date
05/02/2023
Last updated
02/01/2024
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