Individual
MARIE BERNADETTE MVOGO MESSOBO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
11412 GRANDVIEW AVE, SILVER SPRING, MD 20902-2742
(240) 669-7782
Mailing address
11412 GRANDVIEW AVE, SILVER SPRING, MD 20902-2742
(240) 669-7782
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005552
MD
Other
Enumeration date
09/29/2014
Last updated
09/29/2014
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