Individual
CONCILLIA TIFUH NGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
901 HARRY S TRUMAN DR N, LARGO, MD 20774-5477
(301) 213-7744
Mailing address
3428 ESTONIA DR, BOWIE, MD 20716-1263
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
R223255
MD
Other
Enumeration date
03/10/2023
Last updated
03/10/2023
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