Individual
PHOEBE VUWANSI CHONGONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
10300 CRYSTAL BROOK CT, UPPER MARLBORO, MD 20772-6687
(240) 271-5078
Mailing address
10300 CRYSTAL BROOK CT, UPPER MARLBORO, MD 20772-6687
(240) 271-5078
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
R193796
MD
Other
Enumeration date
08/14/2020
Last updated
08/14/2020
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