Individual
COMFORT MBAH ENJECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7611 RIVERDALE RD APT 314, NEW CARROLLTON, MD 20784-3750
(301) 793-5844
Mailing address
7611 RIVERDALE RD APT 314, NEW CARROLLTON, MD 20784-3750
(301) 793-5844
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CNA20210441
—
MD
Enumeration date
02/22/2021
Last updated
02/22/2021
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