Individual
MAUREEN KUBOH NGONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6916 ANDERSONS WAY, LAUREL, MD 20707-5280
(240) 917-1586
Mailing address
6916 ANDERSONS WAY, LAUREL, MD 20707-5280
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
200002908
DC
374U00000X
Home Health Aide
HHA14388
DC
Other
Enumeration date
04/30/2019
Last updated
10/07/2024
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