Individual
IRENE NKEZE NGUAFAC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3419 DODGE PARK RD, APT 201, LANDOVER, MD 20785-2041
(240) 467-0101
Mailing address
3419 DODGE PARK RD, APT 201, LANDOVER, MD 20785-2041
(240) 467-0101
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA12797
DC
Other
Enumeration date
03/07/2017
Last updated
04/06/2018
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