Individual
ANJEH FORBA IMMACULATE ANAGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6229 64TH AVE APT 5, RIVERDALE, MD 20737-2952
(240) 646-2059
Mailing address
8046 IANS ALY, LAUREL, MD 20724-6133
(240) 646-2059
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11733
DC
Other
Enumeration date
02/05/2016
Last updated
03/14/2018
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