Individual
JULIUS NDE NDEAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8432 FIELDSTONE WAY, HYATTSVILLE, MD 20785-4778
(240) 424-1516
Mailing address
8432 FIELDSTONE WAY, HYATTSVILLE, MD 20785-4778
(240) 424-1516
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
171WH0202X
Home Modifications Contractor
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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