Individual
CARLSON MAGUNDA NGALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6711 LONGRIDGE DR, LANHAM, MD 20706-3740
(240) 505-8981
Mailing address
6711 LONGRIDGE DR, LANHAM, MD 20706-3740
(240) 505-8981
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
N240108018947
MD
Other
Enumeration date
06/07/2012
Last updated
06/07/2012
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