Provider Demographics
NPI:1063100824
Name:BELLEH NQUALLE, SYNTIA
Entity type:Individual
Prefix:
First Name:SYNTIA
Middle Name:
Last Name:BELLEH NQUALLE
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 1:12609 DUNKIRK DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-9352
Mailing Address - Country:US
Mailing Address - Phone:240-885-6936
Mailing Address - Fax:
Practice Address - Street 1:12609 DUNKIRK DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-9352
Practice Address - Country:US
Practice Address - Phone:240-885-6936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-28
Last Update Date:2023-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide