Individual
IVOLINE NKIMIH AMAMBUA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10404 VISTA GRANDE DR, BOWIE, MD 20721-4055
(240) 946-0368
Mailing address
10404 VISTA GRANDE DR, BOWIE, MD 20721-4055
(240) 946-0368
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/13/2025
Last updated
01/13/2025
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