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Individual

EZINNA ULOMA MBALEWE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
14725 GOOD HOPE RD, SILVER SPRING, MD 20905-6020
(240) 970-5310
Mailing address
3140 BEETHOVEN WAY, SILVER SPRING, MD 20904-6860
(301) 661-8365

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
R139466
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1730666546
NATIONAL PROVIDER ID
Enumeration date
07/25/2018
Last updated
07/25/2018
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