Individual
EMMANUELLA MBAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6906 GOOD LUCK RD, LANHAM, MD 20706
(240) 467-0042
Mailing address
6906 GOOD LUCK RD, LANHAM, MD 20706-3707
(240) 467-0042
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA10550
DC
Other
Enumeration date
12/30/2015
Last updated
12/30/2015
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