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1336858422
HOLY MBAH
RIVERDALE, MD
NPI
1336858422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
251S00000X
Enumeration Date
2022-11-17
Last Update Date
2023-06-01
Business Address
HOLY MBAH
6305 61ST PL
RIVERDALE, MD 20737-1408
Phone number: 202-560-0475
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Mailing Address
HOLY MBAH
6305 61ST PL
RIVERDALE, MD 20737-1408
Phone number: 202-560-0475
Copy
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