Individual
GILDAS NGWAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4509 DR BEANS LEGACY CIR, BOWIE, MD 20720-6385
(202) 909-0062
Mailing address
4509 DR BEANS LEGACY CIR, BOWIE, MD 20720-6385
(202) 909-0062
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
09/06/2019
Last updated
09/10/2019
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