Provider Demographics
NPI:1235954579
Name:ANUBONDEM, MARNEL MORFAW
Entity type:Individual
Prefix:
First Name:MARNEL
Middle Name:MORFAW
Last Name:ANUBONDEM
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 1:8625 ANNAPOLIS RD APT 102
Mailing Address - Street 2:
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3107
Mailing Address - Country:US
Mailing Address - Phone:202-940-7489
Mailing Address - Fax:
Practice Address - Street 1:8625 ANNAPOLIS RD APT 102
Practice Address - Street 2:
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3107
Practice Address - Country:US
Practice Address - Phone:202-940-7489
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-21
Last Update Date:2024-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide