Individual
MADELEINE L MPONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
16 HUNTERS GATE CT, SILVER SPRING, MD 20904-1826
(240) 821-0089
Mailing address
16 HUNTERS GATE CT, SILVER SPRING, MD 20904-1826
(240) 821-0089
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00162901
—
MD
Enumeration date
09/22/2020
Last updated
09/22/2020
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