Blaise Ngongban Mofor
Blaise Ngongban Mofor is a Case Manager/Care Coordinator in Landover, Maryland. Registered with an NPI since 2018.
- In the registry since
- 2018
Practice location Address checks out
410 Warfield Dr Apt 1094Landover, MD 20785-4785
Phone: (124) 081-7629
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Case Manager/Care Coordinator (primary) | Taxonomy 171M00000X |
|---|
Record details
| NPI number | 1467960815 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | January 19, 2018 |
| Last updated in NPPES | July 18, 2023 |
| Certification date | July 18, 2023 |
| Mailing address | 76 Old Enterprise Rd, Upper Marlboro, MD 20774-1648 |
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