Individual
CASPAR K WANGARI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3300 N RIDGE RD, SUITE 175, ELLICOTT CITY, MD 21043-3383
(410) 750-3474
Mailing address
3713 SONARA RD, RANDALLSTOWN, MD 21133-3421
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A00068778
MD
Other
Enumeration date
05/28/2007
Last updated
07/08/2007
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