Individual
FNU ALI MALLAM BABA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14108 BRAMBLE CT, LAUREL, MD 20708-1214
(763) 388-5735
Mailing address
14108 BRAMBLE CT, LAUREL, MD 20708-1214
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
04/24/2024
Last updated
08/26/2024
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