ANSELM AZONGHO

RIVERDALE, MD
NPI1932465002
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: DC  LPN1005237)
Enumeration Date2012-04-03
Last Update Date2012-04-03
Business Address
-- ANSELM AZONGHO LPN
6003 67TH AVE APT 3
RIVERDALE, MD 20737-1756
Phone number: 301-377-8182
Mailing Address
-- ANSELM AZONGHO LPN
6003 67TH AVE APT 3
RIVERDALE, MD 20737-1756
Phone number: 301-377-8182
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