Provider Demographics
NPI:1548026636
Name:MANKAA, COURAGE NANGA
Entity type:Individual
Prefix:
First Name:COURAGE
Middle Name:NANGA
Last Name:MANKAA
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 1:7504 CAILEN CT
Mailing Address - Street 2:
Mailing Address - City:BELTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20705-1389
Mailing Address - Country:US
Mailing Address - Phone:240-883-2525
Mailing Address - Fax:
Practice Address - Street 1:7504 CAILEN CT
Practice Address - Street 2:
Practice Address - City:BELTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:20705-1389
Practice Address - Country:US
Practice Address - Phone:240-883-2525
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-26
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator