Individual
PORTIA ANJONG UNOGOBI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
352 N SUMMIT AVE APT 103, GAITHERSBURG, MD 20877-3124
(240) 805-7421
Mailing address
352 N SUMMIT AVE APT 103, GAITHERSBURG, MD 20877-3124
(240) 805-7421
Taxonomy
Speciality
Code
Description
License number
State
163WR0400X
Rehabilitation Registered Nurse
R276622
MD
164W00000X
Licensed Practical Nurse
Primary
LPN200002709
DC
Other
Enumeration date
11/16/2023
Last updated
04/04/2026
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