Individual
FRU E NGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4949 NORTHCUTT PL, DAYTON, OH 45414-3839
(937) 677-5280
Mailing address
4949 NORTHCUTT PL, DAYTON, OH 45414-3839
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
2485840
MN
163WH0200X
Home Health Registered Nurse
Primary
525946
OH
163WP0808X
Psychiatric/Mental Health Registered Nurse
525946
OH
Other
Enumeration date
12/31/2024
Last updated
02/14/2025
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