Individual
CARLSON FON MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6501 WOOD POINTE DR, GLENN DALE, MD 20769-2116
(240) 260-8979
Mailing address
6501 WOOD POINTE DR, GLENN DALE, MD 20769-2116
(240) 260-8979
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200004859
DC
Other
Enumeration date
03/10/2025
Last updated
12/22/2025
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