Individual
JOSEPH DESIRE ETOO NDJONGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
216 LAKESIDE DRIVE, APT 102, GREENBELT, MD 20770
(240) 542-4730
Mailing address
216 LAKESIDE DRIVE, APT 102, GREENBELT, MD 20770
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
05/03/2012
Last updated
05/03/2012
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