Individual
ANITA SANGONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6378 SMITHY SQ APT C, GLEN BURNIE, MD 21061-1374
(301) 768-5367
Mailing address
6378 SMITHY SQ APT C, GLEN BURNIE, MD 21061-1374
(301) 768-5367
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R181429
MD
Other
Enumeration date
12/19/2019
Last updated
12/19/2019
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