Individual
CELESTIN FANGNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 800-9005
Mailing address
7600 GEORGIA AVE NW, WASHINGTON, DC 20012-1616
(202) 800-9005
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
0002059754
VA
Other
Enumeration date
01/12/2022
Last updated
01/12/2022
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