Nicolas F Ambomu
Nicolas F Ambomu is a Community/Behavioral Health Agency in Upper Marlboro, Maryland. Practices as a sole proprietor. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
Practice location Address checks out
1013 Andean Goose WayUpper Marlboro, MD 20774-7129
Phone: (240) 883-1023
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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 |
|---|---|
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
| Community Health Worker | Taxonomy 172V00000X |
Record details
| NPI number | 1881383453 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | May 1, 2023 |
| Last updated in NPPES | March 13, 2024 |
| Certification date | March 13, 2024 |
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