Individual
COLUMBUS AWUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1506 FAIRLAKES PL, BOWIE, MD 20721-3102
(240) 907-0991
Mailing address
1506 FAIRLAKES PL, BOWIE, MD 20721-3102
(240) 907-0991
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/06/2022
Last updated
06/06/2023
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