Provider Demographics
NPI:1750642518
Name:NCHIA, MAGDALINE NGULEFAC
Entity type:Individual
Prefix:
First Name:MAGDALINE
Middle Name:NGULEFAC
Last Name:NCHIA
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 1:7775 RIVERDALE RD
Mailing Address - Street 2:#103
Mailing Address - City:NEW CARROLLTON
Mailing Address - State:MD
Mailing Address - Zip Code:20784-3935
Mailing Address - Country:US
Mailing Address - Phone:240-413-9310
Mailing Address - Fax:
Practice Address - Street 1:7775 RIVERDALE RD
Practice Address - Street 2:#103
Practice Address - City:NEW CARROLLTON
Practice Address - State:MD
Practice Address - Zip Code:20784-3935
Practice Address - Country:US
Practice Address - Phone:240-413-9310
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-07
Last Update Date:2012-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide