Individual
BADJOWA NYAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
10703 POOKEY WAY, LARGO, MD 20774-6046
(301) 237-5384
(240) 510-3338
Mailing address
1206 NORTHERN LIGHTS DR, UPPER MARLBORO, MD 20774-6049
(301) 237-5384
(240) 510-3338
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
16AL1095-8
MD
Other
Enumeration date
02/13/2015
Last updated
02/13/2015
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