MEDICARE: SOLANGE NSANG

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide	11093	DC

General Provider Information

NPI Number	:	1710373071
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLANGE NSANG

Provider Business Mailing Address
First Line	:	1121 ANDEAN GOOSE WAY
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7131
Country	:	US
Telephone Number	:	281-865-0966
Fax Number	:

Provider Business Practice Location Address
First Line	:	1121 ANDEAN GOOSE WAY
Second Line	:
City	:	UPPER MARLBORO
State	:	MD
Zip	:	20774-7131
Country	:	US
Telephone Number	:	281-865-0966
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2015
Last Update Date	:	04/13/2015

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Directions to “ SOLANGE NSANG ” Practice Location

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