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Individual

MRS. ANGE WENDYAM GANSORE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
11215 OAK LEAF DR APT 120, SILVER SPRING, MD 20901-1364
(304) 918-8805
Mailing address
11215 OAK LEAF DR APT 120, SILVER SPRING, MD 20901-1364
(304) 918-8805

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA13644
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
HHA13644
GOVERNMENT OF THE DISTRICT OF COLUMBIA
DC
Enumeration date
05/02/2018
Last updated
05/02/2018
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