Individual
FIDELIS MUNDE TEMBENG X
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7755 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3913
(240) 484-5125
Mailing address
7755 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3913
(240) 484-5125
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA15845
DC
Other
Enumeration date
10/26/2021
Last updated
10/26/2021
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