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NPI Code Detail

MEDICARE: MIREILLE NGYESSA ANYAMBOT

MEDICARE:   MIREILLE NGYESSA ANYAMBOT
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 AideHHA15910DC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1NPIOTHERNPI

General Provider Information

NPI Number : 1801563812
Entity Type Code : Individual
Provider Name (Legal Business Name) : MIREILLE NGYESSA ANYAMBOT
Provider Business Mailing Address
First Line : 2807 ORCHARD SUMMIT CT
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2621
Country : US
Telephone Number : 301-532-3099
Fax Number :
Provider Business Practice Location Address
First Line : 2807 ORCHARD SUMMIT CT
Second Line :
City : HYATTSVILLE
State : MD
Zip : 20785-2621
Country : US
Telephone Number : 301-532-3099
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/26/2021
Last Update Date : 08/26/2021

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Directions to “ MIREILLE NGYESSA ANYAMBOT ” Practice Location

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