Individual
DIVINA NCHUFOA NDULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7843 RIVERDALE RD APT T3, NEW CARROLLTON, MD 20784-4025
(240) 521-8147
Mailing address
10704 LAKE ARBOR WAY, BOWIE, MD 20721-3137
(240) 521-8147
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA14280
DC
Other
Enumeration date
02/11/2019
Last updated
07/27/2023
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