Individual provider · NPI-1

Peter Ebainyu Abangma

Home Health Aide · Washington, DC

NPI number1356609333
StatusActive
Last updated in NPPESApr 27, 2012

Details

NPI
1356609333
Entity type
Individual (NPI-1)
Name
Peter Ebainyu Abangma
Sex
Male
Sole proprietor
No
Enumeration date
Apr 27, 2012
Last updated
Apr 27, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

2312 Rhode Island Ave Ne
Washington, DC 20018-2829

Phone 202-635-6006

Mailing address

11117 Cherryvale Ter
Beltsville, MD 20705-3847

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