Most Relevant Information
Provider Data
| NPI Number: | 1003059718 |
| Provider Name: | EMMANUEL MBU |
| Entity Type: | Individual |
| Taxonomy Code: | 164W00000X |
| Specialty: | Licensed Practical Nurse |
| License Number: | LP43734 |
Most Important Dates
| Enumeration Date: | 04/10/2009 |
| Last Updated: | 04/11/2023 |
Provider Practice Location
2811 PENNSYLVANIA AVE SE
WASHINGTON
DC
200203865
Practice Location Phone/Fax
| Phone: | 3013798449 |
| Fax: |
Provider Mailing Location
2811 PENNSYLVANIA AVE SE
WASHINGTON
DC
200203865
Provider Mailing Phone/Fax
| Phone: | 3013798449 |
| Fax: |