Individual
BERNARD NGANNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
10908 ATWELL AVE, BOWIE, MD 20720-3598
(240) 413-8164
Mailing address
10908 ATWELL AVE, BOWIE, MD 20720-3598
(240) 413-8164
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
27878513
—
DC
Enumeration date
01/07/2021
Last updated
01/07/2021
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