Individual
MARCKLYN NGEMUKUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9514 NORDIC DR, LANHAM, MD 20706-3630
(240) 726-0986
Mailing address
9514 NORDIC DR, LANHAM, MD 20706-3630
(240) 726-0986
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200002425
DC
376K00000X
Nurse's Aide
CNA20213947
MD
Other
Enumeration date
07/14/2022
Last updated
03/27/2025
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