Individual
STEPHANE TSAGUE GANHYM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2759 MARTIN LUTHER KING JR AVE SE STE 301, WASHINGTON, DC 20032-2651
(202) 827-9961
(202) 827-9963
Mailing address
8612 FIRE ROCK RD, LAUREL, MD 20724-1990
(240) 601-1432
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1041475
DC
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN223730
MD
Other
Enumeration date
09/29/2020
Last updated
11/28/2023
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