Individual
FNU MBAH CLARIS ECHUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9414 WOODBERRY ST, LANHAM, MD 20706-3425
(240) 360-3876
Mailing address
9414 WOODBERRY ST, LANHAM, MD 20706-3425
(240) 360-3876
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14304
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA14304
—
DC
Enumeration date
02/18/2019
Last updated
04/04/2019
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