Individual
ELLA GANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
14999 HEALTH CENTER DR STE 202, BOWIE, MD 20716-1079
(301) 377-1836
(301) 218-4002
Mailing address
14999 HEALTH CENTER DR STE 202, BOWIE, MD 20716-1079
(301) 377-1836
(301) 218-4002
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R198936
MD
Other
Enumeration date
02/21/2019
Last updated
02/21/2019
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