Provider Demographics
NPI:1194084814
Name:NGALE, GERMAINE ENANGUE (HOME HEALTH AI)
Entity type:Individual
Prefix:MS
First Name:GERMAINE
Middle Name:ENANGUE
Last Name:NGALE
Suffix:
Gender:F
Credentials:HOME HEALTH AI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6711 LONGRIDGE DRIVE
Mailing Address - Street 2:
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706
Mailing Address - Country:US
Mailing Address - Phone:301-455-4482
Mailing Address - Fax:
Practice Address - Street 1:6711 LONGRIDGE DR
Practice Address - Street 2:
Practice Address - City:LANHAM
Practice Address - State:MD
Practice Address - Zip Code:20706-3740
Practice Address - Country:US
Practice Address - Phone:301-455-4482
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-15
Last Update Date:2012-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide