Individual
JOHN MBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6219 SPRINGHILL CT, GREENBELT, MD 20770-1335
(301) 281-3734
Mailing address
6219 SPRINGHILL CT, GREENBELT, MD 20770-1335
(301) 281-3734
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
62612
DC
Other
Enumeration date
06/27/2012
Last updated
06/27/2012
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