Individual
DIVINE C NGAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
8745 CONTEE RD APT 101, LAUREL, MD 20708-1920
(302) 510-3042
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
DC
Other
Enumeration date
05/01/2013
Last updated
09/19/2023
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