Provider Demographics
NPI:1902152408
Name:OSONG, VIOLET UNGIAH
Entity Type:Individual
Prefix:
First Name:VIOLET
Middle Name:UNGIAH
Last Name:OSONG
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 1:7826 EASTERN AVE NW STE 400
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20012-1316
Mailing Address - Country:US
Mailing Address - Phone:202-545-1630
Mailing Address - Fax:202-545-1645
Practice Address - Street 1:1708 POMONA PL
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20716-1662
Practice Address - Country:US
Practice Address - Phone:240-791-8977
Practice Address - Fax:202-506-1396
Is Sole Proprietor?:No
Enumeration Date:2012-08-02
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDCNE20190155376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes376K00000XNursing Service Related ProvidersNurse's Aide