Individual
NGONO MPILLA DIANE CARINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5231 KENILWORTH AVE APT 301, HYATTSVILLE, MD 20781-2853
(720) 609-0000
Mailing address
5231 KENILWORTH AVE APT 301, HYATTSVILLE, MD 20781-2853
(720) 609-0000
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13739
DC
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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