Individual
EMMANUEL KAMDEM-SANGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYCHIATRY NP
Contact information
Practice address
4130 HUNT PL NE, WASHINGTON, DC 20019-3565
(202) 388-4300
Mailing address
115 DELAWARE AVE, GLEN BURNIE, MD 21061-3013
(443) 354-4477
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
R204324
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN1048184
DC
Other
Enumeration date
04/09/2018
Last updated
08/22/2024
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