Individual
NGUH SANDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9100 ELDON DR, CLINTON, MD 20735-2940
(301) 448-8102
Mailing address
9100 ELDON DR, CLINTON, MD 20735-2940
(301) 448-8102
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1032038
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1407117914
—
DC
Enumeration date
05/31/2012
Last updated
02/16/2017
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