Individual
IRENE KIYO LENYU MUMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3207 75TH AVE, LANDOVER, MD 20785-1935
(240) 758-2580
Mailing address
3207 75TH AVE, LANDOVER, MD 20785-1935
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
13645
DC
Other
Enumeration date
05/04/2018
Last updated
05/04/2018
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