Individual
BRANICK NGOMBI WANGIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11303 SPRINGPARK CT, GLENN DALE, MD 20769-9611
(240) 946-1536
Mailing address
11303 SPRINGPARK CT, GLENN DALE, MD 20769-9611
(240) 946-1536
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2024
Last updated
06/06/2024
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