Individual
MR. BASIL TEGHEN NDUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
9105 JOUSTING LN, UPPER MARLBORO, MD 20772-4388
(240) 872-6598
Mailing address
3301 RICHMOND HWY, ALEXANDRIA, VA 22305-3044
(240) 872-6598
Taxonomy
Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
0001301762
VA
Other
Enumeration date
01/31/2025
Last updated
01/31/2025
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