Individual
FORSAB NWACHAN MBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3500 18TH ST NE, WASHINGTON, DC 20018-2738
(202) 529-6510
(202) 529-6570
Mailing address
7777 MAPLE AVE APT 1101, TAKOMA PARK, MD 20912-5649
(301) 675-1568
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14567
DC
Other
Enumeration date
07/12/2019
Last updated
07/12/2019
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