Individual
AGNES M MPANJA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CWON
Contact information
Practice address
6664 BALLENGER RUN BLVD, FREDERICK, MD 21703-7918
(240) 305-7922
Mailing address
6664 BALLENGER RUN BLVD, FREDERICK, MD 21703-7918
(240) 305-7922
Taxonomy
Speciality
Code
Description
License number
State
163WX1500X
Ostomy Care Registered Nurse
Primary
R182828
MD
Other
Enumeration date
06/15/2024
Last updated
06/21/2024
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