Individual
DIVINE NKONGHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7833 RIVERDALE RD, NEW CARROLLTON, MD 20784-4017
(240) 945-6121
Mailing address
7833 RIVERDALE RD, NEW CARROLLTON, MD 20784-4017
(240) 945-6121
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200006168
DC
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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