Individual
DANIEL LEGWENGONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7733 RIVERDALE RD, APT 102, NEW CARROLLTON, MD 20784-3906
(240) 615-3828
Mailing address
7733 RIVERDALE RD, APT 102, NEW CARROLLTON, MD 20784-3906
(240) 615-3828
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12266
DC
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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