Individual
MARINUS ENOW MAYU ANJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8468 IMPERIAL DR, LAUREL, MD 20708-1836
(202) 421-4848
Mailing address
8468 IMPERIAL DR, LAUREL, MD 20708-1836
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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