Individual
ERIC TAJOACHA NKWETTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6425 TISSANY CT, LANDHAM, MD 20706
(240) 460-9133
Mailing address
6425 TISSANY CT, LANDHAM, MD 20706
(240) 460-9133
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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