Provider Demographics
NPI:1619538204
Name:MBEKUH, EFEMBELE LINDA
Entity Type:Individual
Prefix:
First Name:EFEMBELE
Middle Name:LINDA
Last Name:MBEKUH
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 1:14712 SADDLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-3139
Mailing Address - Country:US
Mailing Address - Phone:240-476-0107
Mailing Address - Fax:
Practice Address - Street 1:14712 SADDLE CREEK DR
Practice Address - Street 2:
Practice Address - City:BURTONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20866-3139
Practice Address - Country:US
Practice Address - Phone:240-476-0107
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide