Individual
ODETTE ENGWALI FORKWA I
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4083 WARNER AVE APT C2, LANDOVER HILLS, MD 20784-1943
(240) 467-6096
Mailing address
4083 WARNER AVE APT C2, LANDOVER HILLS, MD 20784-1943
(240) 467-6096
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
374U00000X
Home Health Aide
HHA11957
DC
Other
Enumeration date
04/18/2016
Last updated
03/16/2023
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