Individual
EDWIGE MBIAKEU NOUNGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2831 HARRISON CT, WALDORF, MD 20603-3907
(240) 551-1267
Mailing address
2831 HARRISON CT, WALDORF, MD 20603-3907
(240) 551-1267
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
05/18/2012
Last updated
12/04/2023
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