Individual
MAXWELL ENEIGHO ANDONG SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
5811 84TH AVE, NEW CARROLLTON, MD 20784-2921
(202) 320-0812
Mailing address
5811 84TH AVE, NEW CARROLLTON, MD 20784-2921
(202) 320-0812
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13822
WA
Other
Enumeration date
07/26/2018
Last updated
07/26/2018
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