NPI 1336972512
Samuel Nessibu
Practice location
- Address
- 2001 15th St NW, Washington, DC 20009-5828
- Phone
- (301) 346-5607
- Mailing address
- 23513 Forest Heaven Way, Clarksburg, MD 20871
Registered specialties (2)
Chore Provider
Primary
Chore Provider
Registry record
- NPI
- 1336972512
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 22 Aug 2024
- Record last updated
- 22 Aug 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.