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Individual

BASIRU SAMBA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
4802 WILLES VISION DR, BOWIE, MD 20720-4671
(301) 284-0636
(301) 542-0184
Mailing address
4802 WILLES VISION DR, BOWIE, MD 20720-4671
(301) 284-0636
(301) 542-0184

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
R159377
MD
163WA2000X
Administrator Registered Nurse
R155931
MD
164W00000X
Licensed Practical Nurse
LP34564
MD
171M00000X
Case Manager/Care Coordinator
Primary
174400000X
Specialist
246Y00000X
Health Information Specialist/Technologist
247200000X
Other Technician
372500000X
Chore Provider
372600000X
Adult Companion
3747A0650X
Attendant Care Provider
374U00000X
Home Health Aide
376G00000X
Nursing Home Administrator
376J00000X
Homemaker
376K00000X
Nurse's Aide

Other

Enumeration date
08/17/2015
Last updated
08/17/2015
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