Individual
MORFAW NICHODEMUS KUNGANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4416 BURKES PROMISE DR, BOWIE, MD 20720-4697
(240) 486-7138
Mailing address
4416 BURKES PROMISE DR, BOWIE, MD 20720-4697
(240) 486-7138
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
277698244
—
DC
Enumeration date
01/07/2021
Last updated
01/07/2021
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