Individual
MONIQUE ENAMBONG EMAMBU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3406 54TH AVE APT 2, HYATTSVILLE, MD 20784-1002
(240) 714-7085
Mailing address
3406 54TH AVE APT 2, HYATTSVILLE, MD 20784-1002
(240) 714-7085
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13366
DC
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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