Provider Demographics
NPI:1366240418
Name:NGWA, VALERY NJIE
Entity type:Individual
Prefix:
First Name:VALERY
Middle Name:NJIE
Last Name:NGWA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1707 FERNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-2464
Mailing Address - Country:US
Mailing Address - Phone:240-991-0589
Mailing Address - Fax:
Practice Address - Street 1:1707 FERNWOOD DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20774-2464
Practice Address - Country:US
Practice Address - Phone:240-991-0589
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-05
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide