Individual
NELSON BONGLACK GONGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
HHA
Contact information
Practice address
12312 FEATHERWOOD DR, SILVER SPRING, MD 20904-7653
(202) 545-0935
(202) 545-0934
Mailing address
12312 FEATHERWOOD DR, SILVER SPRING, MD 20904-7653
(202) 545-0935
(202) 545-0934
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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