Individual
ELISE NORA NGO NGUIDJOE BODOUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5124 KENILWORTH AVE, APT 10, HYATTSVILLE, MD 20781-2539
(240) 544-8783
Mailing address
5124 KENILWORTH AVE, APT 10, HYATTSVILLE, MD 20781-2539
(240) 544-8783
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA11533
DC
Other
Enumeration date
10/14/2015
Last updated
10/14/2015
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