Individual
CAROLINE ATABONGLEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9134 EDMONSTON CT, GREENBELT, MD 20770-1526
(240) 510-7690
Mailing address
9134 EDMONSTON CT, GREENBELT, MD 20770-1526
(240) 510-7690
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13754
DC
374U00000X
Home Health Aide
HHA13754
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130872877
—
MD
Enumeration date
06/29/2018
Last updated
06/29/2018
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