Individual
FRED F NGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
260 16TH ST SE APT 1, WASHINGTON, DC 20003-1526
(240) 550-3240
Mailing address
260 16TH ST SE APT 1, WASHINGTON, DC 20003-1526
(240) 550-3240
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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