Individual
GIFTER N BUNGWA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 ROBERT LEWIS AVE, UPPER MARLBORO, MD 20774-5689
(410) 725-1146
Mailing address
1405 ROBERT LEWIS AVE, UPPER MARLBORO, MD 20774-5689
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
09/25/2024
Last updated
02/07/2025
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