Provider Demographics
NPI:1578382792
Name:ANDONG, HARRY NOURISH
Entity type:Individual
Prefix:
First Name:HARRY
Middle Name:NOURISH
Last Name:ANDONG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3105 QUEENS CHAPEL RD APT 101
Mailing Address - Street 2:
Mailing Address - City:MOUNT RAINIER
Mailing Address - State:MD
Mailing Address - Zip Code:20712-1153
Mailing Address - Country:US
Mailing Address - Phone:240-398-4216
Mailing Address - Fax:
Practice Address - Street 1:3105 QUEENS CHAPEL RD APT 101
Practice Address - Street 2:
Practice Address - City:MOUNT RAINIER
Practice Address - State:MD
Practice Address - Zip Code:20712-1153
Practice Address - Country:US
Practice Address - Phone:240-398-4216
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide