Provider Demographics
NPI:1306654512
Name:BALAH, EMILIA NSAMA
Entity type:Individual
Prefix:
First Name:EMILIA
Middle Name:NSAMA
Last Name:BALAH
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 1:8004 CRADDOCK RD
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3049
Mailing Address - Country:US
Mailing Address - Phone:240-795-1880
Mailing Address - Fax:
Practice Address - Street 1:8004 CRADDOCK RD
Practice Address - Street 2:
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-3049
Practice Address - Country:US
Practice Address - Phone:240-795-1880
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-19
Last Update Date:2024-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide