Individual
BERNARD FOMBIN NKENGBEZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8601 GRAY FOX RD, RANDALLSTOWN, MD 21133-5148
(443) 334-7270
Mailing address
8601 GRAY FOX RD, RANDALLSTOWN, MD 21133-5148
(443) 334-7270
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200006629
DC
Other
Enumeration date
06/18/2026
Last updated
06/18/2026
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