Individual
MILTON AWA FRU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
7419 QUIXOTE CT, BOWIE, MD 20720-4354
(240) 486-7195
Mailing address
7419 QUIXOTE CT, BOWIE, MD 20720-4354
(240) 486-7195
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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