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Individual

LUSCIENE NDIFOR UMEAYUGHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
9435 FAIRHAVEN AVE, UPPER MARLBORO, MD 20772-5363
(202) 527-5470
Mailing address
9435 FAIRHAVEN AVE, UPPER MARLBORO, MD 20772-5363
(202) 527-5470

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
374U00000X
Home Health Aide
Primary
HHA200004384
DC

Other

Enumeration date
10/25/2024
Last updated
05/21/2025
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