Individual
SOUKEYE NIANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
110 IRVING ST NW, WASHINGTON, DC 20010-3017
(240) 413-3153
Mailing address
3252 QUEENSTOWN DR APT 102, MOUNT RAINIER, MD 20712-1067
(240) 413-3153
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
R201450
MD
363LG0600X
Gerontology Nurse Practitioner
RN1028125
DC
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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