Individual
MRS. MIRABEL NTUBE NGWESE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2463 TUCKAHOE CT, WALDORF, MD 20601-2643
(804) 650-5145
Mailing address
2463 TUCKAHOE CT, WALDORF, MD 20601-2643
(804) 650-5145
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
03/31/2023
Last updated
07/25/2023
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