Individual
CALVIN NKENGASONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6215 FERNWOOD TER # TERRACE2, RIVERDALE, MD 20737-1637
(240) 422-4579
Mailing address
6215 FERNWOOD TER # TERRACE2, RIVERDALE, MD 20737-1637
(240) 422-4579
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15651
DC
376K00000X
Nurse's Aide
—
DC
Other
Enumeration date
01/19/2021
Last updated
03/30/2021
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