Individual
MARTIN ANU AWUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8611 LUGANO RD, RANDALLSTOWN, MD 21133-4413
(443) 255-3937
(410) 680-6598
Mailing address
8611 LUGANO RD, RANDALLSTOWN, MD 21133-4413
(443) 255-3937
(410) 680-6598
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
R3496
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5113504000
—
MD
Enumeration date
09/09/2020
Last updated
09/09/2020
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