Individual
NGU NYINDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7960 DONEGAN DR STE 201, MANASSAS, VA 20109-8236
(703) 298-3429
Mailing address
7960 DONEGAN DR STE 201, MANASSAS, VA 20109-8236
(703) 298-3429
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
8243-03-011
VA
Other
Enumeration date
06/20/2023
Last updated
07/17/2023
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