Individual
MINETT FON NGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6704 W FOREST RD APT 204, HYATTSVILLE, MD 20785-3312
(240) 501-0143
Mailing address
6704 W FOREST RD APT 204, HYATTSVILLE, MD 20785-3312
(240) 501-0143
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/21/2023
Last updated
10/28/2024
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