Individual
BENEDICTA EGBUANRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2600 BRYAN PL SE, WASHINGTON, DC 20020-4417
(240) 423-8530
Mailing address
5722 GLEN AVE, LANHAM, MD 20706-4730
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN200002583
DC
Other
Enumeration date
09/08/2023
Last updated
09/12/2023
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