Individual
BERTHOLD NGOUANA NZOFFOU SOB
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
153 WESTWAY APT 101, GREENBELT, MD 20770-1999
(240) 797-6853
Mailing address
153 WESTWAY APT 101, GREENBELT, MD 20770-1999
(240) 797-6853
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
01/02/2023
Last updated
01/02/2023
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