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1750840450
FNU HERMANN NGEVE MBULAV
MOUNT RAINIER, MD
NPI
1750840450
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
(Licence: DC HHA14315)
Enumeration Date
2019-03-13
Last Update Date
2019-03-13
Business Address
FNU HERMANN NGEVE MBULAV
4609 30TH ST
MOUNT RAINIER, MD 20712-1316
Phone number: 240-906-1821
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Mailing Address
FNU HERMANN NGEVE MBULAV
4609 30TH ST
MOUNT RAINIER, MD 20712-1316
Phone number: 240-906-1821
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