Individual
BONIFACE MUKUM TENGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7847 RIVERDALE RD APT 103, NEW CARROLLTON, MD 20784-4008
(240) 991-3125
Mailing address
7847 RIVERDALE RD APT 103, NEW CARROLLTON, MD 20784-4008
(240) 991-3125
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
02/18/2025
Last updated
02/18/2025
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