Individual
EVELYN NKENKU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
176 ETHEL DR, #102, LAUREL, MD 20724-2109
(757) 332-0483
Mailing address
176 ETHEL DR, #102, LAUREL, MD 20724-2109
(757) 332-0483
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11330
DC
Other
Enumeration date
07/27/2016
Last updated
07/27/2016
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