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Individual

ANGELINA MBAW

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
2811 PENNSYLVANIA AVE SE, WASHINGTON, DC 20020-3865
(202) 894-6811
Mailing address
13504 ULYSSES CT, BOWIE, MD 20720-5408

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1006811
DC

Other

Enumeration date
07/04/2023
Last updated
07/21/2023
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