Individual
EDWIN NGWASHI FOZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2705 FALLING BROOK TER, ADELPHI, MD 20783-1450
(443) 572-1887
Mailing address
2705 FALLING BROOK TER, ADELPHI, MD 20783-1450
(443) 572-1887
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
10/25/2019
Last updated
10/25/2019
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