Provider Demographics
NPI:1740080720
Name:KEMEI EPSE JAI, ANABEL MENG
Entity type:Individual
Prefix:
First Name:ANABEL MENG
Middle Name:
Last Name:KEMEI EPSE JAI
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5618 CYPRESS CREEK DR APT 103
Mailing Address - Street 2:
Mailing Address - City:HYATTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20782-3525
Mailing Address - Country:US
Mailing Address - Phone:240-584-3260
Mailing Address - Fax:
Practice Address - Street 1:6740 BUSINESS PKWY
Practice Address - Street 2:
Practice Address - City:ELKRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21075-6340
Practice Address - Country:US
Practice Address - Phone:410-212-8153
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-18
Last Update Date:2025-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA00221387376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide