Individual
JEROME NYONGBELA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7735 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3902
(202) 640-8916
Mailing address
7735 RIVERDALE RD APT 302, NEW CARROLLTON, MD 20784-3902
(202) 640-8916
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
11292
DC
Other
Enumeration date
11/15/2016
Last updated
11/17/2016
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