Individual
LAURENCE NGONLA LONLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7715 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3943
(240) 467-8158
Mailing address
7715 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3943
(240) 467-8158
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/22/2019
Last updated
10/22/2019
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