Individual
VIVIAN NDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12312 QUINTETTE LN, BOWIE, MD 20720-4363
(227) 218-5466
Mailing address
1818 NEW YORK AVE NE, 228, WASHINGTON, DC 20002-1848
(202) 832-8340
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
R197214
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/21/2012
Last updated
10/21/2025
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