Individual
VALMY NKIENYACK FOTENDONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3218 WINTER PARK CT, UPPER MARLBORO, MD 20774-7550
(301) 675-2451
Mailing address
7375 EXECUTIVE PL, LANHAM, MD 20706-2278
(301) 937-0188
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R224266
MD
374U00000X
Home Health Aide
—
—
Other
Enumeration date
04/11/2016
Last updated
01/27/2023
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