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Individual

ELVIS NDEMAZEAH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5620 WHITFIELD CHAPEL RD, APT 101, LANHAM, MD 20706-2548
(240) 667-6004
Mailing address
4004 ROMSEY DR, BOWIE, MD 20721-2810
(240) 667-6004

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
29632
MD
374U00000X
Home Health Aide
HHA12304
DC

Other

Enumeration date
08/01/2016
Last updated
01/12/2024
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