# DAWAMED LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013706456
- **Authorized official:** LEONARD MUGO (OWNER OF ENTITY)
- **Authorized official phone:** (410) 645-0254

## Contact information

- **Practice address:** 8117 HARFORD RD \# 2, BALTIMORE, MD 21234-5792
- **Practice address phone:** (531) 200-7379
- **Mailing address:** 4611 SOUTHWOOD AVE, BALTIMORE, MD 21206-2245
- **Mailing address phone:** (531) 200-7379

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | NULL | Yes |
| 363LP0808X | Psychiatric/Mental Health Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 05/02/2025
- **Last updated:** 05/02/2025