Individual
ABU MANSARAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15032 CHERRYWOOD DR, LAUREL, MD 20707-5548
(202) 509-6144
Mailing address
15032 CHERRYWOOD DR, LAUREL, MD 20707-5548
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/06/2013
Last updated
12/06/2013
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