Individual
JUSTINE M NDIFOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1220 12TH ST SE STE G35, WASHINGTON, DC 20003-3738
(202) 544-8090
(202) 544-8091
Mailing address
3407 DODGE PARK RD APT 201, LANDOVER, MD 20785-2017
(240) 938-9842
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA2855
DC
Other
Enumeration date
05/18/2012
Last updated
04/05/2018
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