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MR. CORNELIUS TIENYI NYIBECHE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
HHA

Contact information

Practice address
8013 ALLOWAY LN, BELTSVILLE, MD 20705-6322
(202) 430-8907
Mailing address
8013 ALLOWAY LN, BELTSVILLE, MD 20705-6322
(202) 430-8907

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
DC
374U00000X
Home Health Aide
Primary
HHA13606
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
3189965-E16-20A
STATEFARM INSURANCE
MD
05
45252919
MD
Enumeration date
04/16/2018
Last updated
09/17/2025
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