Individual
JOHN MWANGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4229 RED MAPLE CT, BURTONSVILLE, MD 20866-1146
(240) 437-6805
Mailing address
4229 RED MAPLE CT, BURTONSVILLE, MD 20866-1146
(240) 437-6805
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00148616
MD
376K00000X
Nurse's Aide
NA0000811534
DC
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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