Individual
MANKAH AWASOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7126 TILBURY WAY, HANOVER, MD 21076-2270
(806) 472-8876
Mailing address
7126 TILBURY WAY, HANOVER, MD 21076-2270
(806) 472-8876
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500341539
DC
Other
Enumeration date
04/08/2026
Last updated
04/08/2026
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