Individual
HOSEA A MBANGOWAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1031 KINGS TREE DR, BOWIE, MD 20721-1918
(240) 565-8738
Mailing address
1031 KINGS TREE DR, BOWIE, MD 20721-1918
(240) 565-8738
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
07/10/2012
Last updated
07/10/2012
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