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Individual

JOHNSON TANGUNYI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
13502 WATER FOWL WAY, UPPER MARLBORO, MD 20774-7093
(240) 565-7749
Mailing address
13502 WATER FOWL WAY, UPPER MARLBORO, MD 20774-7093
(240) 565-7749

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN1003132
DC

Other

Enumeration date
10/15/2025
Last updated
10/15/2025
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