Individual
NTONIFOR ALICE MANKA ASE EPSE MFONYAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13121 LARCHDALE RD, LAUREL, MD 20708-1743
(240) 855-3567
Mailing address
13121 LARCHDALE RD, LAUREL, MD 20708-1743
(240) 855-3567
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200005350
DC
Other
Enumeration date
09/05/2025
Last updated
09/05/2025
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