Individual
CLEMENTINE TABENG EPSE NDAMFOMBAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7709 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3941
(240) 510-7453
Mailing address
7709 RIVERDALE RD APT 202, NEW CARROLLTON, MD 20784-3941
(240) 510-7453
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MD
374U00000X
Home Health Aide
HHA13408
DC
Other
Enumeration date
07/19/2018
Last updated
12/29/2023
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