Provider Demographics
NPI:1871854190
Name:NDANGA, DANIEL MBOH (HHA)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:MBOH
Last Name:NDANGA
Suffix:
Gender:M
Credentials:HHA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9923 GOOD LUCK RD APT T3
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3255
Mailing Address - Country:US
Mailing Address - Phone:254-599-6111
Mailing Address - Fax:202-545-0934
Practice Address - Street 1:9923 GOOD LUCK RD APT T3
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3255
Practice Address - Country:US
Practice Address - Phone:254-599-6111
Practice Address - Fax:202-545-0934
Is Sole Proprietor?:No
Enumeration Date:2012-06-04
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide