Individual
NICOLE ETOGOKWE ETABONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6900 HIGHVIEW TER APT 104, HYATTSVILLE, MD 20782-4013
(240) 460-4792
Mailing address
6900 HIGHVIEW TER APT 104, HYATTSVILLE, MD 20782-4013
(240) 460-4792
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
DC
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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