Individual
VANESANDRA NGAMUKONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4545 42ND ST NW STE 105, WASHINGTON, DC 20016-4623
(202) 558-2085
Mailing address
20134 PRAIRIE DUNN TER, ASHBURN, VA 20147
(202) 558-2085
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
DC
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
04/12/2023
Last updated
10/27/2025
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