Individual
BIH A MBANWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
H.H.A.
Contact information
Practice address
1813 RYDERWOOD CT, HYATTSVILLE, MD 20785-3978
(240) 643-9673
Mailing address
1813 RYDERWOOD CT, HYATTSVILLE, MD 20785-3978
(240) 643-9673
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
11/05/2012
Last updated
11/05/2012
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