Provider Demographics
NPI:1811231988
Name:NDUMU, CAROL
Entity Type:Individual
Prefix:
First Name:CAROL
Middle Name:
Last Name:NDUMU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 SOUTHGATE DR
Mailing Address - Street 2:APT 10
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22306-6621
Mailing Address - Country:US
Mailing Address - Phone:202-460-2164
Mailing Address - Fax:
Practice Address - Street 1:7835 EASTERN AVE
Practice Address - Street 2:STE 209
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-4825
Practice Address - Country:US
Practice Address - Phone:202-400-3636
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide