Individual
MARIATU WANN
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
1036 OVERLOOK WAY, LAUREL, MD 20707-6404
(240) 603-9913
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1005279
DC
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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