Provider Demographics
NPI:1720347354
Name:MFOGMI SANDJON, CLAUDE STEPHANIE
Entity type:Individual
Prefix:
First Name:CLAUDE
Middle Name:STEPHANIE
Last Name:MFOGMI SANDJON
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 1:2311 BROOKE GROVE RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20721-1860
Mailing Address - Country:US
Mailing Address - Phone:202-446-6288
Mailing Address - Fax:
Practice Address - Street 1:9017 CONTEE RD
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20708-2101
Practice Address - Country:US
Practice Address - Phone:202-446-6288
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-16
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCRN1038830163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse