Individual
LYDIA NGUM NGONGBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9014 BREEZEWOOD TER APT 104, GREENBELT, MD 20770-4012
(301) 613-9095
Mailing address
9014 BREEZEWOOD TER APT 104, GREENBELT, MD 20770-4012
(301) 613-9095
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1008892
DC
251E00000X
Home Health Agency
21723168159179
DC
Other
Enumeration date
05/26/2012
Last updated
08/26/2024
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