Individual
NGENDAP TENGEN COREEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
13009 MISTLETOE SPRING RD APT 516, LAUREL, MD 20708
(240) 476-6133
Mailing address
13009 MISTLETOE SPRING RD APT 516, LAUREL, MD 20708-1609
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/06/2018
Last updated
08/09/2018
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