Individual
DONNY MUKUM TEBONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3409 DODGE PARK RD, HYATTSVILLE, MD 20785-2021
(240) 467-6106
(410) 946-2109
Mailing address
3409 DODGE PARK RD, HYATTSVILLE, MD 20785-2021
(240) 467-6106
(410) 946-2109
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
100953
MD
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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