Individual
BERENICE IGWACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11801 MEADOWLAND DR, BOWIE, MD 20720
(240) 643-9673
Mailing address
11801 MEADOWLAND DR, BOWIE, MD 20720
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
026.0113334
VT
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/16/2012
Last updated
06/06/2018
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