Individual
JACKSON NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
516 GLENWOOD AVE, BALTIMORE, MD 21212-4230
(410) 323-9811
(410) 323-3862
Mailing address
8501 CASTLEMILL CIR, NOTTINGHAM, MD 21236-2606
(410) 323-9811
(443) 552-3232
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP43242
MD
Other
Enumeration date
11/21/2025
Last updated
11/21/2025
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