Individual
JOSEPH ENONGENE MBONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
BSN, RN
Contact information
Practice address
4101 OLD NATIONAL PIKE, MOUNT AIRY, MD 21771-4115
(301) 829-0800
Mailing address
605 RED CT, FREDERICK, MD 21703-2243
(240) 421-4702
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R218959
MD
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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