Individual
IYANGDAM PATRICIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6323 GEORGIA AVE NW STE 360, WASHINGTON, DC 20011-1101
(202) 621-8494
Mailing address
3338 ANABRANCH WAY, LAUREL, MD 20724-0002
(202) 897-8163
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
08/05/2025
Last updated
05/04/2026
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