Individual
BINTA SANOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5307 85TH AVE, NEW CARROLLTON, MD 20784-3228
(240) 667-6684
Mailing address
5307 85TH AVE, NEW CARROLLTON, MD 20784-3228
(240) 667-6684
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00192238
MD
Other
Enumeration date
12/29/2022
Last updated
12/29/2022
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