Individual
GWENDOLINE NEGEBAH UKUM MEMBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
HHA
Contact information
Practice address
302 CHERRYWOOD TER, GREENBELT, MD 20770
(301) 454-9817
Mailing address
8805 SHANNAN DR, CLINTON, MD 20735-2450
(024) 591-7222
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/31/2012
Last updated
03/27/2018
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