Individual
NICHOLAS ASONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
962 WAYNE AVE STE 600, SILVER SPRING, MD 20910-4453
(301) 585-9595
Mailing address
962 WAYNE AVE STE 600, SILVER SPRING, MD 20910-4453
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP48511
MD
Other
Enumeration date
01/10/2019
Last updated
01/10/2019
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