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Individual

BERTHE CHAGANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
9712 BELAIR RD STE 200-202, NOTTINGHAM, MD 21236-1103
(410) 513-7577
(410) 497-5613
Mailing address
9712 BELAIR RD STE 200, NOTTINGHAM, MD 21236-1112
(410) 513-7577
(410) 497-5613

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R227027
MD

Other

Enumeration date
01/24/2017
Last updated
12/11/2021
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