Individual
GERMAIN-BLAISE MBELLE NKEDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6401 AMERICA BLVD STE 204, HYATTSVILLE, MD 20782-2357
(301) 276-8840
Mailing address
1005 WHISTLING DUCK DR, UPPER MARLBORO, MD 20774-7149
(301) 906-1756
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
30065
MD
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2023
Last updated
08/21/2024
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