Individual
AWAMBENG ERIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5445 85TH AVE APT 102, LANHAM, MD 20706
(240) 581-0636
Mailing address
5445 85TH AVE APT 102, LANHAM, MD 20706-4524
(240) 581-0636
Taxonomy
Speciality
Code
Description
License number
State
164X00000X
Licensed Vocational Nurse
Primary
HHA11233
DC
Other
Enumeration date
05/07/2015
Last updated
05/07/2015
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