Individual
HENRIETTE N KAMGANG-NOUBISSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
9318 GAITHER RD STE 205, GAITHERSBURG, MD 20877-1409
(301) 820-7200
(301) 778-7026
Mailing address
19731 EXECUTIVE PARK CIR, GERMANTOWN, MD 20874-2642
(301) 540-1332
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R165549
MD
Other
Enumeration date
03/26/2019
Last updated
03/21/2022
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