Individual
BECKLEY NKWETTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
14730 4TH ST, LAUREL, MD 20707-3701
(240) 467-8938
Mailing address
14730 4TH ST, LAUREL, MD 20707-3701
(240) 467-8938
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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