Individual
DZELAMONYUY EVANS NTANI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3309 DODGE PARK RD APT 214, HYATTSVILLE, MD 20785-2112
(443) 635-2663
Mailing address
3309 DODGE PARK RD APT 214, HYATTSVILLE, MD 20785-2112
(443) 635-2663
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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