Most Relevant Information
Provider Data
| NPI Number: | 1003175449 |
| Provider Name: | GLORY MBEH ANENG |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/04/2012 |
| Last Updated: | 05/04/2012 |
Provider Practice Location
2312 RHODE ISLAND AVE NE
WASHINGTON
DC
200182829
Practice Location Phone/Fax
| Phone: | 2026356006 |
| Fax: |
Provider Mailing Location
2109 MARYLAND AVE NE APT 2
WASHINGTON
DC
200023135
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |