TANIFORM EDWINE MANGWA

LAUREL, MD
NPI1477829620
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2012-03-31
Last Update Date2012-03-31
Business Address
TANIFORM EDWINE MANGWA HHA
8301 SWEET BRENDA CT
LAUREL, MD 20707-4924
Phone number: 202-545-0935
Mailing Address
TANIFORM EDWINE MANGWA HHA
8301 SWEET BRENDA CT
LAUREL, MD 20707-4924
Phone number: