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Individual

MATHIAS-POTI EKEPAI NEKEMBE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
7845 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-4009
(571) 536-0417
Mailing address
7845 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-4009
(571) 536-0417

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN500020429
DC
171M00000X
Case Manager/Care Coordinator
374U00000X
Home Health Aide
HHA14135
DC

Other

Enumeration date
11/15/2018
Last updated
01/06/2026
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