SearchMaryland172V00000X

Bernice Bongo

NPI 1831929421 · on the registry since 2024

Practice

Address
5504 Smita Pl Lanham
Lanham, MD 20706
Phone
(240) 598-8118

Registry record

Primary taxonomy
172V00000X
172V00000X
Also registered as
390200000X
171M00000X
374U00000X
Licence states on file
DC
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-08-13

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland