Individual
BERT-DESTINY TEKUM NGUFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1818 NEW YORK AVE NE, WASHINGTON, DC 20002-1848
(202) 489-0615
Mailing address
3223 75TH AVE APT 101, HYATTSVILLE, MD 20785-1914
(469) 989-2082
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/05/2020
Last updated
12/19/2024
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