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Individual

NADINE NKWANTA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7614 GREEN WILLOW CT, HYATTSVILLE, MD 20785-4671
(917) 535-6275
Mailing address
7614 GREEN WILLOW CT, HYATTSVILLE, MD 20785-4671
(917) 535-6275

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide

Other

Enumeration date
09/01/2022
Last updated
11/21/2023
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