Individual
MISS ROSE AKWI MBANYAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9967 GOOD LUCK RD, #104, LANHAM, MD 20706-3276
(240) 413-9398
Mailing address
9967 GOOD LUCK RD, #104, LANHAM, MD 20706-3276
(240) 413-9398
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
HHA
DC
Other
Enumeration date
05/29/2012
Last updated
05/29/2012
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