Individual
NGEA KUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
7715 RIVERDALE RD APT 304, NEW CARROLLTON, MD 20784-3943
(301) 326-5424
Mailing address
7715 RIVERDALE RD APT 304, NEW CARROLLTON, MD 20784-3943
(301) 326-5424
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA200001865
DC
Other
Enumeration date
06/23/2022
Last updated
06/23/2022
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