Individual
MR. CARLSON IGWACHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
2104 PINEY BRANCH CIR APT 401, HANOVER, MD 21076-1836
(240) 350-2508
Mailing address
2104 PINEY BRANCH CIR APT 401, HANOVER, MD 21076-1836
(240) 350-2508
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
R214040
MD
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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