Individual
UNKNOWN NGOH ELODY ENJEI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12006 DEKA RD, CLINTON, MD 20735-1127
(227) 215-9433
Mailing address
12006 DEKA RD, CLINTON, MD 20735-1127
(227) 215-9433
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/08/2024
Last updated
10/08/2024
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