Most Relevant Information
Provider Data
| NPI Number: | 1003453150 |
| Provider Name: | NGOUEGNI BERTINE ZOGNOU |
| Entity Type: | Individual |
| Taxonomy Code: | 374U00000X |
| Specialty: | Home Health Aide |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/09/2019 |
| Last Updated: | 12/09/2019 |
Provider Practice Location
8305 FREMONT PL
NEW CARROLLTON
MD
207842715
Practice Location Phone/Fax
| Phone: | 2408257977 |
| Fax: |
Provider Mailing Location
8305 FREMONT PL
NEW CARROLLTON
MD
207842715
Provider Mailing Phone/Fax
| Phone: | 2408257977 |
| Fax: |