Provider Demographics
NPI:1902245897
Name:HANGOU, SOLANGE P
Entity Type:Individual
Prefix:
First Name:SOLANGE
Middle Name:P
Last Name:HANGOU
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 1:419 W SIDE DR
Mailing Address - Street 2:204
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3124
Mailing Address - Country:US
Mailing Address - Phone:240-644-2856
Mailing Address - Fax:
Practice Address - Street 1:419 W SIDE DR
Practice Address - Street 2:204
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20878-3124
Practice Address - Country:US
Practice Address - Phone:240-644-2856
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD374U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide