Individual
EVODIA MAMBO NDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
13838 CASTLE BLVD APT 201, SILVER SPRING, MD 20904-7381
(434) 378-0160
Mailing address
13838 CASTLE BLVD APT 201, SILVER SPRING, MD 20904-7381
(434) 378-0160
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/31/2013
Last updated
03/31/2013
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