Individual
KENG MBAKWA STELLA EPSE AZIAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9769 GOOD LUCK RD APT 5, LANHAM, MD 20706-3333
(202) 749-0972
Mailing address
9769 GOOD LUCK RD APT 5, LANHAM, MD 20706-3333
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13258
DC
374U00000X
Home Health Aide
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—
Other
Enumeration date
10/30/2017
Last updated
10/30/2017
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