Individual
PETER MBAGU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2401 E NORTH AVE, BALTIMORE, MD 21213-1517
(410) 675-2113
Mailing address
2401 E NORTH AVE, BALTIMORE, MD 21213-1517
(410) 675-2113
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP43373
MD
Other
Enumeration date
02/23/2026
Last updated
02/23/2026
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