Individual
ASSITA SANOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
19449 RAYFIELD DR, GERMANTOWN, MD 20874-6257
(301) 532-6344
Mailing address
19449 RAYFIELD DR, GERMANTOWN, MD 20874-6257
(301) 532-6344
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14506
DC
Other
Enumeration date
08/26/2019
Last updated
08/26/2019
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