Provider Demographics
NPI:1962748152
Name:BESONG, ANGELINA BELIA
Entity type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:BELIA
Last Name:BESONG
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 1:9773 GOOD LUCK RD
Mailing Address - Street 2:11
Mailing Address - City:LANHAM
Mailing Address - State:MD
Mailing Address - Zip Code:20706-3335
Mailing Address - Country:US
Mailing Address - Phone:240-437-8585
Mailing Address - Fax:
Practice Address - Street 1:4809 KING CT # 11
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-3539
Practice Address - Country:US
Practice Address - Phone:240-437-8585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-17
Last Update Date:2023-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No374U00000XNursing Service Related ProvidersHome Health Aide