Individual
MAX ATANGA AZONGHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
15100 DENNIGTON DRIVE, BOWIE, MD 20721
(240) 486-5996
Mailing address
15100 DENNIGTON DRIVE, BOWIE, MD 20721
(240) 486-5996
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA6408
DC
Other
Enumeration date
04/11/2012
Last updated
04/06/2018
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