Individual
NICKY EFUETNGWA EBESOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8704 BOLLMAN PL, SAVAGE, MD 20763-9747
(240) 413-3825
Mailing address
8704 BOLLMAN PL, SAVAGE, MD 20763-9747
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
03/31/2026
Last updated
03/31/2026
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