Individual
EMMANUEL MBAGWU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6316 KINSEY TER, LANHAM, MD 20706-2395
(202) 327-1514
Mailing address
6316 KINSEY TER, LANHAM, MD 20706-2395
(202) 327-1514
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA5548
DC
Other
Enumeration date
01/09/2017
Last updated
01/09/2017
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