Individual
WINNIE MURIEL NGONGANG FALAFALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9429 FAIRHAVEN AVE, UPPER MARLBORO, MD 20772-5363
(240) 716-1178
Mailing address
9429 FAIRHAVEN AVE, UPPER MARLBORO, MD 20772-5363
(240) 716-1178
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
00788345
CO
Other
Enumeration date
08/09/2021
Last updated
08/09/2021
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