Individual
GENEVIEVE TATCHOU NGANOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15847 CRABBS BRANCH WAY, DERWOOD, MD 20855-2635
(301) 640-1278
(301) 460-1278
Mailing address
5945 PECKING STONE ST, NEW MARKET, MD 21774-6871
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R216727
MD
163W00000X
Registered Nurse
RN1038305
DC
Other
Enumeration date
02/13/2017
Last updated
06/10/2024
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