Individual
DANIEL NDAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
12008 CASTLE PINES LN, WALDORF, MD 20602-3183
(202) 258-5671
(240) 607-6760
Mailing address
1731 BUNKER HILL RD NE, WASHINGTON, DC 20017-3026
(202) 635-6133
(202) 635-5780
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R149775
MD
376G00000X
Nursing Home Administrator
RN963469
DC
Other
Enumeration date
06/27/2012
Last updated
01/20/2023
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