Individual
SANDRINE FANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT
Contact information
Practice address
8118 GOOD LUCK RD, LANHAM, MD 20706-3574
(301) 552-8130
Mailing address
9503 SAINT ANNES CT, LANHAM, MD 20706-3632
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0005388
MD
Other
Enumeration date
06/24/2014
Last updated
03/29/2016
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