Individual ProviderMarylse G MbangaRegistered NurseNursing Service ProvidersPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616(202) 723-3060PECOS EnrollmentBased on the most recent information from CMS, provider Marylse G Mbanga does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1538786215Provider TypeIndividualFull NameMbanga, Marylse GGenderFemaleSole ProprietorYesEnumeration Date6/29/2020Last Updated6/29/2020Contact InformationPractice LocationPractice Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 723-3060Fax(202) 723-3065Mailing LocationMailing Address7600 Georgia Ave NW Ste 323, Washington, DC 20012-1616Phone(202) 723-3060FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode163W00000XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicenseRN1049047District of Columbia