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Individual

ISATA BANGURA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
5504 GLEN AVE, LANHAM, MD 20706-4718
(202) 588-8036
Mailing address
5504 GLEN AVE, LANHAM, MD 20706-4718
(240) 505-0208
(410) 946-2010

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
376K00000X
Nurse's Aide
Primary
A00185391

Other

Enumeration date
01/26/2021
Last updated
03/12/2026
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