Individual
MIRIAM S AZONGHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12416 ROCHINO CT, GLENN DALE, MD 20769-9047
(240) 729-9112
Mailing address
12416 ROCHINO CT, GLENN DALE, MD 20769-9047
(240) 729-9112
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
07/08/2025
Last updated
07/08/2025
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