Individual
NGWESSE EKWELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
11050 CITRUS PL, HOME, WALDORF, MD 20603-5954
(801) 462-3430
Mailing address
11050 CITRUS PL, HOME, WALDORF, MD 20603-5954
(801) 462-3430
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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