Individual
SONGE NGWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5231 KENILWORTH AVE APT 304, HYATTSVILLE, MD 20781-2853
(240) 467-0408
Mailing address
7600 GEORGIA AVE., SUITE 323, WASHINGTON, DC 20012-1616
(202) 723-3060
(202) 723-3065
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1009029
DC
251E00000X
Home Health Agency
—
—
374U00000X
Home Health Aide
HHA0909
DC
Other
Enumeration date
04/12/2012
Last updated
02/21/2024
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