Individual
SUSANA NGAMTII TIMOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
9738 COUNTRY MEADOWS LN APT 3D, LAUREL, MD 20723-6308
(301) 497-6111
Mailing address
9738 COUNTRY MEADOWS LN APT 3D, LAUREL, MD 20723-6308
(301) 497-6111
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
20667
DC
Other
Enumeration date
10/04/2012
Last updated
10/04/2012
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