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Individual

VIVIAN N BIENONWU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7506 GEORGIA AVE NW, WASHINGTON, DC 20012-1608
(202) 291-6973
Mailing address
3521 65TH AVE, HYATTSVILLE, MD 20784-2465
(240) 770-6059

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006788
DC

Other

Enumeration date
07/10/2012
Last updated
07/10/2012
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