Individual
MENTHOL NDAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
302 MAPLE TREE DR APT 1K, GLEN BURNIE, MD 21060-8555
(410) 948-0983
Mailing address
302 MAPLE TREE DR APT 1K, GLEN BURNIE, MD 21060-8555
(410) 948-0983
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R158288
MD
Other
Enumeration date
05/18/2016
Last updated
05/18/2016
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