Individual
NONGLEY N ETIENDEM JUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1039 BLADENSBURG RD NE, WASHINGTON, DC 20002-2922
(540) 429-3077
(703) 205-2413
Mailing address
14251 WILDERNESS LN, WOODBRIDGE, VA 22193-5654
(540) 429-3077
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
10/15/2024
Last updated
10/15/2024
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