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Individual

ELECTA AWANGA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
7120 SAMUEL MORSE DR, COLUMBIA, MD 21046-3419
(410) 799-6100
Mailing address
7727 BAGGINS RD, HANOVER, MD 21076-1608
(240) 646-2083

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
R175937
MD

Other

Enumeration date
05/14/2018
Last updated
05/14/2018
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