Individual
CLARISE AMBUN NDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7705 RIVERDALE RD, NEW CARROLLTON, MD 20784-3958
(240) 988-9358
Mailing address
7705 RIVERDALE RD, NEW CARROLLTON, MD 20784-3958
(240) 988-9358
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
DC
Other
Enumeration date
08/19/2024
Last updated
08/19/2024
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