Individual
NJI KENNETH NGWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15524 FINCHINGFIELD WAY, UPPER MARLBORO, MD 20774-8091
(240) 906-2601
Mailing address
15524 FINCHINGFIELD WAY, UPPER MARLBORO, MD 20774-8091
(240) 906-2601
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
12/10/2021
Last updated
12/13/2023
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