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Louise Ebongue

Home Health Aide in New Carrollton, MD. Individual provider (NPI-1).

NPI number1164083945
StatusActive
Last updated in NPPESJun 24, 2019

Details

NPI
1164083945
Entity type
Individual (NPI-1)
Name
Louise Ebongue
Sex
Female
Sole proprietor
Yes
Enumeration date
Jun 24, 2019
Last updated
Jun 24, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health AideHHA14469DCYes

Practice location

8623 Annapolis Rd Apt 102
New Carrollton, MD 20784-3106

Phone 240-758-8444

Mailing address

8623 Annapolis Rd Apt 102
New Carrollton, MD 20784-3106

Phone 240-758-8444

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