Individual
AGNES KHUMBAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12656 HEMING LN, BOWIE, MD 20716-1119
(719) 464-2292
Mailing address
12656 HEMING LN, BOWIE, MD 20716-1119
(719) 464-2292
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12684
DC
Other
Enumeration date
03/21/2017
Last updated
03/21/2017
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