Individual
LESLIE N NGONG-NASSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NURSE PRACTITIONER
Contact information
Practice address
12401 BRICKYARD BLVD APT 2106, BELTSVILLE, MD 20705-1636
(240) 374-8280
Mailing address
5505.5 REISTERSTOWN RD, BALTIMORE, MD 21215
(443) 493-7985
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R215510
MD
Other
Enumeration date
12/13/2023
Last updated
01/22/2024
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