Individual
LOUISE EBONGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8623 ANNAPOLIS RD APT 102, NEW CARROLLTON, MD 20784-3106
(240) 758-8444
Mailing address
8623 ANNAPOLIS RD APT 102, NEW CARROLLTON, MD 20784-3106
(240) 758-8444
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14469
DC
Other
Enumeration date
06/24/2019
Last updated
06/24/2019
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