Individual
VICLINE NGENE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10111 MARGUERITA AVE, GLENN DALE, MD 20769-7502
(240) 917-5739
Mailing address
10111 MARGUERITA AVE, GLENN DALE, MD 20769-7502
(240) 917-5739
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
DC
374U00000X
Home Health Aide
HHA15619
DC
Other
Enumeration date
07/16/2021
Last updated
12/23/2025
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