Individual
ANNA NDIM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10704 LAKE ARBOR WAY, BOWIE, MD 20721-3137
(240) 486-8271
Mailing address
10704 LAKE ARBOR WAY, BOWIE, MD 20721-3137
(240) 486-8271
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14980
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
HHA14980
—
DC
Enumeration date
05/29/2020
Last updated
05/29/2020
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