Individual
DIVINE NZEFEH EFFUTNGU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7509 TAYLOR ST, HYATTSVILLE, MD 20784-6319
(202) 948-8431
Mailing address
7509 TAYLOR ST, HYATTSVILLE, MD 20784-6319
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005825
DC
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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