Individual
CHANCELINE FENGO NOUGOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10873 LOCKWOOD DR, SILVER SPRING, MD 20901-1552
(202) 304-6561
Mailing address
10873 LOCKWOOD DR, SILVER SPRING, MD 20901-1552
(202) 304-6561
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CNA20222155
MD
Other
Enumeration date
07/07/2022
Last updated
07/07/2022
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