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Individual

TESSI NDUNGMBOWO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
HOME HEALTH AID

Contact information

Practice address
11550 STEWART LN APT 607, SILVER SPRING, MD 20904-2254
(240) 481-7522
Mailing address
11550 STEWART LN APT 607, SILVER SPRING, MD 20904-2254
(240) 481-7522

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
374U00000X
Home Health Aide
HHA13152

Other

Enumeration date
11/03/2017
Last updated
07/25/2023
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