Provider Demographics
NPI:1801153523
Name:MUMA, ALAMBI WALTER
Entity type:Individual
Prefix:
First Name:ALAMBI
Middle Name:WALTER
Last Name:MUMA
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 1:10017 MARGUERITA AVE
Mailing Address - Street 2:
Mailing Address - City:GLENN DALE
Mailing Address - State:MD
Mailing Address - Zip Code:20769-9276
Mailing Address - Country:US
Mailing Address - Phone:301-825-3298
Mailing Address - Fax:
Practice Address - Street 1:10017 MARGUERITA AVE
Practice Address - Street 2:
Practice Address - City:GLENN DALE
Practice Address - State:MD
Practice Address - Zip Code:20769-9276
Practice Address - Country:US
Practice Address - Phone:301-825-3298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-04-19
Last Update Date:2012-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide