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Individual

ERIC MBAH NKWENTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
116 ESSENTON DR, UPPER MARLBORO, MD 20774-1812
(240) 304-5108
Mailing address
116 ESSENTON DR, UPPER MARLBORO, MD 20774-1812
(240) 304-5108

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker

Other

Enumeration date
03/12/2025
Last updated
12/08/2025
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