Provider Demographics
NPI:1003692344
Name:WOUDNEH, SOLIANA G
Entity Type:Individual
Prefix:
First Name:SOLIANA
Middle Name:G
Last Name:WOUDNEH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10901 CHERRYVALE CT # CG
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-3835
Mailing Address - Country:US
Mailing Address - Phone:202-876-5290
Mailing Address - Fax:
Practice Address - Street 1:10901 CHERRYVALE CT # CG
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-3835
Practice Address - Country:US
Practice Address - Phone:202-876-5290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD10272023635343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)