NPI 1043827793

Elvis Tinong Mbah

Practitioner Personal Care Attendant Hyattsville, MD

Practice location

Address: 3504 Hubbard Rd APT 204, Hyattsville, MD 20785-2068
Phone: (540) 628-5727

Registered specialties

Personal Care Attendant Primary

Nursing Service Related Providers Taxonomy 3747P1801X

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Registry record

NPI: 1043827793
Entity type: Individual
Sex (as registered): Male
NPI issued: 28 Sep 2020
Record last updated: 29 Sep 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.