Individual
ANTOINETTE HAZUMUTIMA BANGAMWABO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9622 WESHIRE DR, UPPER MARLBORO, MD 20774-2701
(202) 240-7213
Mailing address
9622 WESHIRE DR, UPPER MARLBORO, MD 20774-2701
(202) 240-7213
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
HAA200006277
DC
374U00000X
Home Health Aide
Primary
HAA200006277
DC
Other
Enumeration date
06/02/2026
Last updated
06/18/2026
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