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Individual

IGNATIUS ATEMNKENG NJIFOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
5603 JOYCE PL, BLADENSBURG, MD 20710-1645
(240) 495-8683
Mailing address
5603 JOYCE PL, BLADENSBURG, MD 20710-1645
(240) 495-8683

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
376K00000X
Nurse's Aide
A00197650
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
A00197650
MD
Enumeration date
09/19/2021
Last updated
09/24/2021
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