Individual
CHARLES ONDEPE IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3825 64TH AVE APT 4, LANDOVER HILLS, MD 20784-1860
(124) 046-7546
Mailing address
3825 64TH AVE APT 4, LANDOVER HILLS, MD 20784-1860
(124) 046-7546
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12447
MD
390200000X
Student in an Organized Health Care Education/Training Program
HHA12447
DC
Other
Enumeration date
10/14/2016
Last updated
03/15/2023
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