Individual
ELVIS NKEGOA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6002 CAMILLO CT, RIVERDALE, MD 20737-3522
(240) 614-9704
Mailing address
6002 CAMILLO CT, RIVERDALE, MD 20737-3522
(240) 614-9704
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HHA14373
DC
Other
Enumeration date
04/10/2019
Last updated
04/10/2019
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