Individual
CHARLES MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 GEORGIA AVE NW STE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
Mailing address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 723-3060
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN200002885
DC
Other
Enumeration date
11/22/2024
Last updated
11/22/2024
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