Individual
JEFFERSON NDIFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7715 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3943
(202) 925-1013
Mailing address
7715 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3943
(202) 925-1013
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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