Individual
ERIC NGNINTEDEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6856 EASTERN AVENUE NW SUITE 350, WASHINGTON DC, DC 20012
(202) 545-0211
(240) 751-4156
Mailing address
5003 47TH AVE, HYATTSVILLE, MD 20781-2318
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA1205
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ERIC NGNINTEDEM1
—
DC
Enumeration date
05/18/2012
Last updated
03/28/2018
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