Individual
NWAMAKA J UDEGBUNAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6303 KENILWORTH AVE, RIVERDALE, MD 20737-1209
(240) 860-3105
Mailing address
6303 KENILWORTH AVE, RIVERDALE, MD 20737-1209
(240) 860-3105
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
A00170450
—
MD
Enumeration date
09/08/2020
Last updated
09/08/2020
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