Individual
KENDUANYI MENKEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
320 ELK NEST DR, NORTH EAST, MD 21901-5109
(240) 550-4104
Mailing address
320 ELK NEST DR, NORTH EAST, MD 21901-5109
(240) 550-4104
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/01/2012
Last updated
07/09/2024
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