Individual
GWENDOLINE BUNGANSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7837 RIVERDALE RD, APT 302, NEW CARROLLTON, MD 20784-4020
(240) 604-1719
Mailing address
7837 RIVERDALE RD, APT 302, NEW CARROLLTON, MD 20784-4020
(240) 604-1719
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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