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1467083667
NICASIUS TENDONG-KENG
GLENARDEN, MD
NPI
1467083667
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
NICASIUS TENDONG-KENG
3635 COUSINS DR
GLENARDEN, MD 20774-2600
Phone number: 202-594-1526
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Mailing Address
NICASIUS TENDONG-KENG
3635 COUSINS DR
GLENARDEN, MD 20774-2600
Phone number: 202-594-1526
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