Individual
IMMACULATE NGUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13918 CASTLE BLVD, APT 304, SILVER SPRING, MD 20904-4954
(240) 437-7099
Mailing address
13918 CASTLE BLVD, APT 304, SILVER SPRING, MD 20904-4954
(240) 437-7099
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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