Individual
VALENTINE E MBOGNE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11882 COUNTRY SQUIRE WAY, CLARKSBURG, MD 20871-3334
(240) 423-8524
Mailing address
11882 COUNTRY SQUIRE WAY, CLARKSBURG, MD 20871-3334
(240) 423-8524
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R212465
MD
Other
Enumeration date
04/06/2026
Last updated
04/06/2026
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