Individual
PATRICK KAGUAMBA NGANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
601 SOUTH CHARLES STREET, BALTIMORE, MD 21230
(443) 326-7991
Mailing address
541 FUSELAGE AVE, ESSEX, MD 21221-3276
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
R157620
MD
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R157620
MD
Other
Enumeration date
07/10/2010
Last updated
08/11/2021
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