IndividualActive
Agendia Mathew Atabongkeng
NPI 1720827090 · Home Health Aide · Upper Marlboro, MD
Provider details
- NPI number
- 1720827090
- Entity type
- Individual
- Primary specialty
- Home Health AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- No
- License
- HHA200003883 (DC)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1405 Canadien Geese Ct
Upper Marlboro, MD 20774-7062
Phone: (202) 455-7051
Approximate (ZIP-level) locationGet directions
Mailing address
1405 Canadien Geese Ct
Upper Marlboro, MD 20774-7062
Registry dates
- Enumerated
- 2024-05-24
- Last updated
- 2026-05-29
- Certified
- 2026-05-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.