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Mbah Charles

NPI 1215416136 · on the registry since 2018 · sole proprietor

Practice

Address
3705 Clayton Dr
Bowie, MD 20721
Phone
(202) 264-9243

Registry record

Primary taxonomy
374U00000X
374U00000X
Also registered as
171M00000X
171M00000X
Licence states on file
DC, MD
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-08-09

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland