Individual
MR. JACOB MBENG EBEN MBOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14111 BOWSPRIT LN APT 210, LAUREL, MD 20707-6328
(240) 554-7027
Mailing address
14111 BOWSPRIT LN APT 210, LAUREL, MD 20707-6328
(240) 554-7027
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/31/2012
Last updated
05/31/2012
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