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Individual

HUMPHREY SOWHO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7515 ANNAPOLIS RD, SUITE 204, HYATTSVILLE, MD 20784-1740
(301) 423-0535
Mailing address
6304 CHEETAH CT, WALDORF, MD 20603-4339
(301) 423-0535

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
NSA 0419
DC

Other

Enumeration date
05/11/2015
Last updated
05/12/2015
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