Individual
NICASIUS TENDONG-KENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3635 COUSINS DR, GLENARDEN, MD 20774-2600
(202) 594-1526
Mailing address
3635 COUSINS DR, GLENARDEN, MD 20774-2600
(202) 594-1526
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
01/28/2020
Last updated
01/28/2020
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