Individual
FNU NGU SIGA TAMUFOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
11600 BRONCO CT, UPPER MARLBORO, MD 20772-2985
(240) 701-6003
Mailing address
11600 BRONCO CT, UPPER MARLBORO, MD 20772-2985
(240) 701-6003
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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