Provider Demographics
NPI:1346005410
Name:NGWEH, BLONDINE
Entity Type:Individual
Prefix:
First Name:BLONDINE
Middle Name:
Last Name:NGWEH
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 1:15121 CALLOHAN CT
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-6137
Mailing Address - Country:US
Mailing Address - Phone:240-281-9033
Mailing Address - Fax:
Practice Address - Street 1:15121 CALLOHAN CT
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-6137
Practice Address - Country:US
Practice Address - Phone:240-281-9033
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-19
Last Update Date:2024-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator