Individual
GLORY PATRICK INWANG JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RN
Contact information
Practice address
2410 MITCHELLVILLE RD, BOWIE, MD 20716-1548
(443) 571-7720
Mailing address
2410 MITCHELLVILLE RD, BOWIE, MD 20716-1548
(443) 571-7720
Taxonomy
Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
RN1025570
DC
Other
Enumeration date
12/02/2021
Last updated
12/02/2021
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