Individual
IRENE BWETE-MUGYENZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4200 ALTAMONT PL, WHITE PLAINS, MD 20695-3052
(301) 645-2774
Mailing address
11306 WILDMEADOWS ST, WALDORF, MD 20601-2684
(301) 769-1027
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R202575
MD
Other
Enumeration date
05/21/2021
Last updated
08/25/2021
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