Individual
EMMANUEL GIDEON NNABUKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2660 HUSK PL APT 101, WALDORF, MD 20602-1806
(240) 510-6421
Mailing address
2660 HUSK PL APT 101, WALDORF, MD 20602-1806
(240) 510-6421
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
—
374U00000X
Home Health Aide
Primary
HHA200003807
DC
Other
Enumeration date
08/24/2023
Last updated
07/02/2024
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