Individual
NGUM JUDE NFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE STE 110, WASHINGTON, DC 20002-1849
(202) 978-1237
Mailing address
6604 W FOREST RD APT 201, LANDOVER, MD 20785-1751
(301) 851-1292
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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