Provider Demographics
NPI:1245902444
Name:NGUISEH, ASONG SOLANGE
Entity type:Individual
Prefix:
First Name:ASONG SOLANGE
Middle Name:
Last Name:NGUISEH
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 1:9961 GOOD LUCK RD APT T4
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3273
Mailing Address - Country:US
Mailing Address - Phone:240-423-9475
Mailing Address - Fax:
Practice Address - Street 1:9961 GOOD LUCK RD APT T4
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3273
Practice Address - Country:US
Practice Address - Phone:240-423-9475
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-05
Last Update Date:2021-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide