Individual
MR. ANJECK A MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1808 METZEROTT RD APT 56, ADELPHI, MD 20783-5123
(240) 338-7953
Mailing address
1808 METZEROTT RD APT 56, ADELPHI, MD 20783-5123
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14009
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA14009
—
DC
Enumeration date
10/04/2018
Last updated
10/04/2018
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