Individual
GWEI NGALA BANTAR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3701 PAXMORE CT, UPPER MARLBORO, MD 20772-7700
(202) 817-0189
Mailing address
3701 PAXMORE CT, UPPER MARLBORO, MD 20772-7700
(202) 817-0189
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
Primary
HHA200003969
DC
Other
Enumeration date
11/02/2024
Last updated
08/13/2025
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