Individual
BELTINE NDIKUM MUNGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6612 IAN ST, NEW CARROLLTON, MD 20784-3630
(571) 616-1925
Mailing address
6612 IAN ST, NEW CARROLLTON, MD 20784-3630
(571) 616-1925
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00199178
MD
Other
Enumeration date
09/14/2022
Last updated
09/14/2022
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