Individual
MANGA B AYUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6409 GRENDEL PL, BOWIE, MD 20720-5308
(240) 486-3242
Mailing address
6409 GRENDEL PL, BOWIE, MD 20720-5308
(240) 486-3242
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN1048570
DC
374U00000X
Home Health Aide
—
—
Other
Enumeration date
06/19/2012
Last updated
08/30/2024
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