Individual
ELIANE ISI NGONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5018 57TH AVE APT B7, BLADENSBURG, MD 20710-1668
(410) 900-2722
Mailing address
5018 57TH AVE APT B7, BLADENSBURG, MD 20710-1668
(410) 900-2722
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
05/02/2024
Last updated
05/03/2024
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