Individual
DIVINE ETOME NGOMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9102 7TH ST, LANHAM, MD 20706-2745
(240) 495-9551
Mailing address
9102 7TH ST, LANHAM, MD 20706-2745
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200006091
DC
Other
Enumeration date
06/08/2026
Last updated
06/08/2026
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