Individual
MIREILLE NGO NANE LEBOG EPSE SONA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3921 MINNESOTA AVE NE, WASHINGTON, DC 20019-2662
(240) 598-8342
Mailing address
2508 BROOKE GROVE RD, BOWIE, MD 20721-1885
(240) 598-8342
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
Primary
—
DC
251S00000X
Community/Behavioral Health Agency
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/03/2020
Last updated
10/30/2025
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