Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207V00000X | Obstetrician & Gynecologist | D0079136 | MD |
N | 207VM0101X | Gynecologist - Maternal & Fetal Medicine | D0079136 | MD |
NPI | 1205107281 |
---|---|
Provider Name | Miss Solange Nten Eloundou |
First Address | Rockville, MD 20850-6341 |
Second Address | Rockville, MD 20850 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 23/01/2012 |
Last Update Date | 23/07/2018 |