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Ngulefac Atabongafac Maxcelus

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

NPI number1902604259
StatusActive
Last updated in NPPESMar 4, 2025

Details

NPI
1902604259
Entity type
Individual (NPI-1)
Name
Ngulefac Atabongafac Maxcelus
Sex
Male
Sole proprietor
No
Enumeration date
Mar 4, 2025
Certification date
Mar 4, 2025
Last updated
Mar 4, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
374U00000X Home Health Aide––Yes

Practice location

5437 85th Ave Apt 102
Lanham, MD 20706-4520

Phone 240-945-1739

Mailing address

5437 85th Ave Apt 102
Lanham, MD 20706-4520

Phone 240-945-1739

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