MEDICARE: SOLANGE BIH NKONYAM

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	N-255-772-089-121	MD

General Provider Information

NPI Number	:	1528328028
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLANGE BIH NKONYAM

Provider Business Mailing Address
First Line	:	6525 LANDOVER RD
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1427
Country	:	US
Telephone Number	:	240-701-0233
Fax Number	:

Provider Business Practice Location Address
First Line	:	6525 LANDOVER RD
Second Line	:
City	:	CHEVERLY
State	:	MD
Zip	:	20785-1427
Country	:	US
Telephone Number	:	240-701-0233
Fax Number	:

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

Provider Enumeration Date	:	05/18/2012
Last Update Date	:	05/18/2012

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Directions to “ SOLANGE BIH NKONYAM ” Practice Location

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