Individual
MARLENE TSHIBANGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7602 FONTAINEBLEAU DR APT 242, NEW CARROLLTON, MD 20784-3812
(202) 247-8194
Mailing address
7602 FONTAINEBLEAU DR APT 242, NEW CARROLLTON, MD 20784-3812
(202) 247-8194
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
A00196191
MD
374U00000X
Home Health Aide
Primary
A00196191
MD
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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