Provider Demographics
NPI:1407723901
Name:FRANCIS, AMBA ENDOH
Entity type:Individual
Prefix:
First Name:AMBA
Middle Name:ENDOH
Last Name:FRANCIS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5314 85TH AVE APT D8
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3241
Mailing Address - Country:US
Mailing Address - Phone:202-819-7728
Mailing Address - Fax:
Practice Address - Street 1:5314 85TH AVE APT D8
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3241
Practice Address - Country:US
Practice Address - Phone:202-819-7728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-10-20
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DC374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide