Provider Demographics
NPI:1740019447
Name:SAB NGWOTA, SYLVIE NEH (GNA)
Entity type:Individual
Prefix:
First Name:SYLVIE NEH
Middle Name:
Last Name:SAB NGWOTA
Suffix:
Gender:F
Credentials:GNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18202 WILLOW CREEK WAY APT L
Mailing Address - Street 2:
Mailing Address - City:MONTGOMERY VILLAGE
Mailing Address - State:MD
Mailing Address - Zip Code:20886-0426
Mailing Address - Country:US
Mailing Address - Phone:240-722-2788
Mailing Address - Fax:
Practice Address - Street 1:18202 WILLOW CREEK WAY APT L
Practice Address - Street 2:
Practice Address - City:MONTGOMERY VILLAGE
Practice Address - State:MD
Practice Address - Zip Code:20886-0426
Practice Address - Country:US
Practice Address - Phone:240-722-2788
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-31
Last Update Date:2024-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator