Provider Demographics
NPI:1508684820
Name:NDI, GLORY MUSEAH
Entity type:Individual
Prefix:
First Name:GLORY
Middle Name:MUSEAH
Last Name:NDI
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 1:9511 SHERIDAN ST
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-2635
Mailing Address - Country:US
Mailing Address - Phone:240-761-7796
Mailing Address - Fax:
Practice Address - Street 1:9511 SHERIDAN ST
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-2635
Practice Address - Country:US
Practice Address - Phone:240-761-7796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-26
Last Update Date:2024-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator