Individual
MRS. VANESSA EWONGO NAMME
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7741 RIVERDALE RD, NEW CARROLLTON, MD 20784-3911
(240) 746-8936
Mailing address
7741 RIVERDALE RD, NEW CARROLLTON, MD 20784-3911
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
374U00000X
Home Health Aide
HHA13110
DC
Other
Enumeration date
09/26/2017
Last updated
07/18/2023
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