Individual
HENRIETTA NGULEFAC LERAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7729 RIVERDALE RD, NEW CARROLLTON, MD 20784-3951
(240) 486-6701
Mailing address
7729 RIVERDALE RD, NEW CARROLLTON, MD 20784-3951
(240) 486-6701
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1032
DC
Other
Enumeration date
05/31/2012
Last updated
10/03/2024
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