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NPI Code Detail

MEDICARE: GAELLE TRACY EMENKENG BAH

MEDICARE:   GAELLE TRACY EMENKENG BAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health AideDC

General Provider Information

NPI Number : 1497612170
Entity Type Code : Individual
Provider Name (Legal Business Name) : GAELLE TRACY EMENKENG BAH
Provider Business Mailing Address
First Line : 3414 55TH AVE APT 403
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20784-1029
Country : US
Telephone Number : 443-481-9897
Fax Number :
Provider Business Practice Location Address
First Line : 3414 55TH AVE APT 403
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20784-1029
Country : US
Telephone Number : 443-481-9897
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2026
Last Update Date : 01/06/2026

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Directions to “ GAELLE TRACY EMENKENG BAH ” Practice Location

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