Individual
IBRAHIM MANSARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 588-8036
(410) 946-2010
Mailing address
1615 KENILWORTH AVE NE, WASHINGTON, DC 20019-2010
(202) 603-3854
(410) 946-2010
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
A00154888
MD
Other
Enumeration date
02/15/2021
Last updated
02/15/2021
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