Individual
MISTERINE LUM NGWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2504 QUEENS CHAPEL RD, HYATTSVILLE, MD 20782-3646
(202) 415-4797
Mailing address
2328 BRIGHTSEAT RD APT 3, HYATTSVILLE, MD 20785-3539
(202) 415-4797
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
374U00000X
Home Health Aide
HHA14735
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
11/12/2019
Last updated
06/21/2023
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