Individual
THERESE NWANCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7851 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784
(202) 705-3114
Mailing address
7851 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-4004
(202) 705-3114
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
HHA 11235
DC
Other
Enumeration date
05/01/2015
Last updated
06/14/2023
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