Individual
CLETUS ASOGO ATINGATANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA - C
Contact information
Practice address
1812 METZEROTT RD APT 46, ADELPHI, MD 20783-5171
(301) 793-1802
Mailing address
38 CYNTHIAS PL APT 302, FREDERICKSBURG, VA 22406-7435
(301) 793-1802
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110008420
VA
Other
Enumeration date
09/21/2015
Last updated
12/02/2024
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