Individual
NUKENUCHIKI TIMBONG GAELLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9522 LANHAM SEVERN RD, LANHAM, MD 20706-2624
(240) 701-0059
Mailing address
9522 LANHAM SEVERN RD, LANHAM, MD 20706-2624
(240) 701-0059
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
HHA12872
DC
Other
Enumeration date
07/03/2017
Last updated
06/29/2024
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