Individual
ANJONG MARIAMA NDIFANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HOME HEALTH AID
Contact information
Practice address
4508 BROAD BLVD, BELTSVILLE, MD 20705-1515
(301) 323-5562
Mailing address
4508 BROAD BLVD, BELTSVILLE, MD 20705-1515
(301) 323-5562
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12527
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
HHA12527
DEPARTMENT OF HEALTH
DC
Enumeration date
03/24/2017
Last updated
03/24/2017
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