Individual
NERISSA NKANGU NGUFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5822 MENTANA ST, NEW CARROLLTON, MD 20784-3505
(240) 413-1608
Mailing address
5822 MENTANA ST, NEW CARROLLTON, MD 20784-3505
(240) 413-1608
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12767
DC
Other
Enumeration date
05/24/2017
Last updated
07/21/2022
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