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Charlotte Sima Ondo Mabengha

Home Health Aide in Silver Spring, MD. Individual provider (NPI-1).

NPI number1619704541
StatusActive
Last updated in NPPESSep 16, 2024

Details

NPI
1619704541
Entity type
Individual (NPI-1)
Name
Charlotte Sima Ondo Mabengha
Sex
Female
Sole proprietor
No
Enumeration date
Sep 16, 2024
Certification date
Sep 16, 2024
Last updated
Sep 16, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide–DCYes

Practice location

13904 Castle Blvd
Silver Spring, MD 20904-4942

Phone 240-310-5306

Mailing address

13904 Castle Blvd
Silver Spring, MD 20904-4942

Phone 240-310-5306

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