NICASIUS TENDONG-KENG

GLENARDEN, MD
NPI1467083667
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2020-01-28
Last Update Date2020-01-28
Business Address
NICASIUS TENDONG-KENG
3635 COUSINS DR
GLENARDEN, MD 20774-2600
Phone number: 202-594-1526
Mailing Address
NICASIUS TENDONG-KENG
3635 COUSINS DR
GLENARDEN, MD 20774-2600
Phone number: 202-594-1526