Provider Demographics
NPI:1932457165
Name:MORFAW, EMEATABONG
Entity Type:Individual
Prefix:
First Name:EMEATABONG
Middle Name:
Last Name:MORFAW
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 1:5115 CHESHIRE LN
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-4165
Mailing Address - Country:US
Mailing Address - Phone:301-343-3896
Mailing Address - Fax:
Practice Address - Street 1:5115 CHESHIRE LN
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-4165
Practice Address - Country:US
Practice Address - Phone:301-343-3896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-20
Last Update Date:2012-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide