Individual
NELSEN SAH ENONGENE NDIALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6522 EDGERTON DR, LANHAM, MD 20706-3515
(240) 696-9889
Mailing address
6522 EDGERTON DR, LANHAM, MD 20706-3515
(240) 696-9889
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/07/2019
Last updated
10/09/2019
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