Individual
MANDELA COBBI ATUD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6601 W FOREST RD APT 102, HYATTSVILLE, MD 20785-1747
(202) 374-6937
Mailing address
6601 W FOREST RD APT 102, HYATTSVILLE, MD 20785-1747
(202) 374-6937
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/03/2021
Last updated
01/30/2024
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