Individual
MAHAMADI SAWADOGO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RN,BSN,WCC
Contact information
Practice address
4132 LANCASTER CIR, WALDORF, MD 20603-4681
(202) 290-5123
Mailing address
4132 LANCASTER CIR, WALDORF, MD 20603-4681
(202) 290-5123
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R245520
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
85-3995016
IRS
MD
Enumeration date
12/06/2020
Last updated
12/06/2020
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