Individual
AMALICE NKIMIH KOMUFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15017 NORTHCOTE LN, BOWIE, MD 20716-1044
(240) 423-8197
Mailing address
15017 NORTHCOTE LN, BOWIE, MD 20716-1044
(240) 423-8197
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
08/03/2021
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