Individual
HENRY TIMBEN ENOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6259 64TH AVE APT 4, RIVERDALE, MD 20737-2968
(240) 643-7122
Mailing address
6259 64TH AVE APT 4, RIVERDALE, MD 20737-2968
(240) 643-7122
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14749
DC
Other
Enumeration date
11/05/2019
Last updated
11/05/2019
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