Individual
KELLY NGIMNKIA DJOUBOU YOUNTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3636 TYROL DR BLDG 3636, GLENARDEN, MD 20774-2617
(240) 639-2342
Mailing address
3636 TYROL DR BLDG 3636, GLENARDEN, MD 20774-2617
(240) 639-2342
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
07/03/2024
Last updated
09/26/2024
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