Individual
CONSTANCE IJANG AMBELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9507 LIVINGSTON RD, FORT WASHINGTON, MD 20744-4919
(301) 248-1333
Mailing address
10111 MARGUERITA AVE, GLENN DALE, MD 20769-7502
(240) 435-9709
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
26134
MD
Other
Enumeration date
11/10/2020
Last updated
11/10/2020
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