Individual
JAINABA MBENGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8609 2ND AVE STE 506B, SILVER SPRING, MD 20910-3362
(240) 398-3514
Mailing address
413 HIDDEN BROOK DR APT L, GLEN BURNIE, MD 21061-5444
(240) 603-2411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
11/06/2019
Last updated
11/06/2019
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