Individual
LYDIA P AGOCK NDOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13600 AQUA LN, ROCKVILLE, MD 20850-3632
(301) 550-0639
Mailing address
13600 AQUA LN, ROCKVILLE, MD 20850-3632
(301) 550-0639
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
HHA200003894
DC
Other
Enumeration date
08/10/2024
Last updated
04/11/2025
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