Individual
RAHIMATOU N/A NKWANUI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16 BANNINGTON DR UPPR MARLBORO, UPPER MARLBORO, MD 20774-1438
(202) 660-8851
Mailing address
16 BANNINGTON DR UPPR MARLBORO, UPPER MARLBORO, MD 20774-1438
(202) 660-8851
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
Primary
HHA13641
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N-250-73000896
—
MD
Enumeration date
06/07/2019
Last updated
06/07/2019
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