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NPI Code Detail

MEDICARE: BAINDU H MORIBA

MEDICARE: BAINDU H MORIBA
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
1376K00000XNurse's Aide

General Provider Information

NPI Number : 1598385841
Entity Type Code : Individual
Provider Name (Legal Business Name) : BAINDU H MORIBA
Provider Business Mailing Address
First Line : 11435 HAWK RIDGE CT
Second Line :
City : BELTSVILLE
State : MD
Zip : 20705-1451
Country : US
Telephone Number : 240-765-4741
Fax Number :
Provider Business Practice Location Address
First Line : 3298 FORT LINCOLN DR NE APT 511
Second Line :
City : WASHINGTON
State : DC
Zip : 20018-4318
Country : US
Telephone Number : 202-270-7730
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2020
Last Update Date : 04/16/2020

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Directions to “ BAINDU H MORIBA ” Practice Location

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