Individual
MRS. GWENDOLINE WUBNYONGA TANKOH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4411 SOUTHERN AVE, CAPITOL HEIGHTS, MD 20743-5639
(301) 379-8697
Mailing address
4411 SOUTHERN AVE, CAPITOL HEIGHTS, MD 20743-5639
(301) 379-8697
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
MD
Other
Enumeration date
10/29/2025
Last updated
10/30/2025
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