Individual
ELVIS NDENGE KOMETA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5510 CHEROKEE AVE, ALEXANDRIA, VA 22312-2320
(703) 843-3662
Mailing address
14912 DOVEHEART LN, BOWIE, MD 20721-3079
(301) 979-0135
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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