Individual
MIRABEL MANKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
780 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5978
(240) 643-8568
Mailing address
780 FAIRVIEW AVE, TAKOMA PARK, MD 20912-5978
(240) 643-8568
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/18/2021
Last updated
03/18/2021
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