Individual
SYLEVANUS NKENGAFAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
912 DELRAN PL, UPPER MARLBORO, MD 20774-5717
(240) 486-6804
Mailing address
912 DELRAN PL, UPPER MARLBORO, MD 20774-5717
(240) 486-6804
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
DC
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
HHA15647
DC
Other
Enumeration date
04/01/2021
Last updated
04/13/2026
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