Individual
ISREAL NTUNGFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7509 BUCHANAN ST APT 319, HYATTSVILLE, MD 20784-2381
(213) 263-1146
Mailing address
7509 BUCHANAN ST APT 319, HYATTSVILLE, MD 20784-2381
(213) 263-1146
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA200001338
DC
Other
Enumeration date
07/19/2021
Last updated
02/13/2024
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