Individual
ANNACLETUS U MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6976
Mailing address
11804 BLANDING CT, BOWIE, MD 20720-4449
(240) 353-9468
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
A00063786
MD
Other
Enumeration date
10/28/2020
Last updated
10/28/2020
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