Individual
FNU NGASSA BOUDELEUR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9420 GRAND BLVD APT 5374, LARGO, MD 20774-2727
(227) 229-7841
Mailing address
9420 GRAND BLVD APT 5374, LARGO, MD 20774-2727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
10/12/2025
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