Individual
CHRISTELLE NBUTOBOG NANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13918 CASTLE BLVD, APT 304, SILVER SPRING, MD 20904-4954
(678) 740-4602
Mailing address
13918 CASTLE BLVD, APT 304, SILVER SPRING, MD 20904-4954
(678) 740-4602
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
N-500-115-623-334
MD
374U00000X
Home Health Aide
N-131-115-018-334
MD
Other
Enumeration date
06/11/2012
Last updated
06/08/2023
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