Marvin Ayumbi
Community Health Worker in Laurel, MD. Individual provider (NPI-1).
NPI number1457117111
StatusActive
Last updated in NPPESFeb 21, 2024
Details
- NPI
- 1457117111
- Entity type
- Individual (NPI-1)
- Name
- Marvin Ayumbi
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 21, 2024
- Certification date
- Feb 21, 2024
- Last updated
- Feb 21, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 172V00000X | Community Health Worker | – | – | Yes |
Practice location
14420 W Side Blvd Apt 305Laurel, MD 20707-6270
Phone 202-579-1198
Mailing address
14420 W Side Blvd Apt 305Laurel, MD 20707-6270
Phone 202-579-1198
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