Individual
MR. DIVINE NDEMAZEH KUNGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
(202) 388-4339
Mailing address
6505 MANTON WAY, LANHAM, MD 20706-2488
(240) 906-4174
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500021398
DC
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
02/01/2021
Last updated
01/12/2026
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