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NPI Code Detail

MEDICARE: WINNIE NGANKAM

MEDICARE: WINNIE NGANKAM
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
1374U00000XHome Health AideHHA14621DC

General Provider Information

NPI Number : 1851940225
Entity Type Code : Individual
Provider Name (Legal Business Name) : WINNIE NGANKAM
Provider Business Mailing Address
First Line : 11564 LOCKWOOD DR APT B1
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-2436
Country : US
Telephone Number : 240-615-4603
Fax Number :
Provider Business Practice Location Address
First Line : 11564 LOCKWOOD DR APT B1
Second Line :
City : SILVER SPRING
State : MD
Zip : 20904-2436
Country : US
Telephone Number : 240-615-4603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2019
Last Update Date : 09/09/2019

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