Individual
JONG A NKEMTAJI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3823 64TH AVE APT 3, HYATTSVILLE, MD 20784-1876
(240) 429-2582
Mailing address
3823 64TH AVE APT 3, HYATTSVILLE, MD 20784-1876
(240) 429-2582
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/18/2012
Last updated
07/18/2012
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