Individual
FERRY FERNANDEZ NGANGOUA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 MARION BARRY AVE SE, WASHINGTON, DC 20020-3011
(202) 866-7505
(202) 335-0994
Mailing address
2237 SANDALWOOD DR, WALDORF, MD 20601-3954
(716) 238-1280
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
11/18/2024
Last updated
04/28/2025
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