Individual
MIANGO NGASI BASANIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4306 STABLEMERE CT, BOWIE, MD 20720-3728
(240) 636-4492
Mailing address
4306 STABLEMERE CT, BOWIE, MD 20720-3728
(240) 636-4492
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
05/13/2024
Last updated
04/07/2025
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