Individual
EVELYN MAMBO NTUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1924 MERRIMAC DR, HYATTSVILLE, MD 20783-2202
(240) 241-3319
Mailing address
1924 MERRIMAC DR, HYATTSVILLE, MD 20783-2202
(240) 241-3319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14698
DC
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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