Individual
NKONGHO NDIP NKONGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
14700 4TH ST, LAUREL, MD 20707-3898
(540) 684-0219
Mailing address
14700 4TH ST, LAUREL, MD 20707-3898
(540) 684-0219
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
06/15/2026
Last updated
06/15/2026
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