Individual
VICTORINE AKWEN NGANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4710 PENNINGTON AVE, CURTIS BAY, MD 21226-1405
(410) 355-3285
Mailing address
6810 PARK HEIGHTS AVE, BALTIMORE, MD 21215-1641
(443) 538-8400
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R209034
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
RN1041047
DC
Other
Enumeration date
03/05/2019
Last updated
10/23/2020
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