Individual
ELVIS ATANGACHE NDIFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4077 WARNER AVE, APT#08, LANDOVER HILLS, MD 20784-1947
(208) 705-5163
Mailing address
4077 WARNER AVE, APT#08, LANDOVER HILLS, MD 20784-1947
(208) 705-5163
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
07/05/2012
Last updated
07/05/2012
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