Provider Demographics
NPI:1598385841
Name:MORIBA, BAINDU H
Entity Type:Individual
Prefix:
First Name:BAINDU
Middle Name:H
Last Name:MORIBA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11435 HAWK RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1451
Mailing Address - Country:US
Mailing Address - Phone:240-765-4741
Mailing Address - Fax:
Practice Address - Street 1:3298 FORT LINCOLN DR NE APT 511
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20018-4318
Practice Address - Country:US
Practice Address - Phone:202-270-7730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2020-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide