Individual
NELLY ILUNGA MATANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 WEIR DR, LINCOLN, ND 58504-9199
(217) 904-0375
Mailing address
95 WEIR DR, LINCOLN, ND 58504-9199
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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