Individual
CLARISSE F NIMBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5006 69TH AVE, RIVERDALE, MD 20737-1795
(240) 708-1113
Mailing address
5006 69TH AVE, RIVERDALE, MD 20737-1795
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15704
DC
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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