Individual
OLABISI NTUMNGIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8903 ASCOT LANE, APT 11, LAUREL, MD 20708
(240) 486-7461
Mailing address
4960 CROOKED CREEK CT, WALDORF, MD 20602-3185
(240) 486-7461
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
1568988756
DC
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA12856
DC
Other
Enumeration date
08/18/2017
Last updated
02/22/2024
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