Individual
ANNAGRACE WILFRED MBOWE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1434 4TH ST SW, WASHINGTON, DC 20024-2204
(202) 848-2121
Mailing address
21917 MANOR CREST LN, BOYDS, MD 20841-4122
(240) 481-5919
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
—
—
Other
Enumeration date
10/09/2020
Last updated
10/09/2020
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