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Individual

QUINTA A NKEMASONG NGOMBA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2124 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20020-5732
(202) 563-7632
Mailing address
11517 SEQUOIA LN, BELTSVILLE, MD 20705-1469

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
172V00000X
Community Health Worker
374U00000X
Home Health Aide
HHA13706
DC

Other

Enumeration date
06/12/2018
Last updated
08/21/2023
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