Organization
HIZWILL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KETTY NGONA (CEO)
(443) 465-9958
Entity
Organization
Contact information
Practice address
104 FERRY LN APT 211, BEL AIR, MD 21014-4559
(443) 465-9958
Mailing address
7735 HOLLINS CHAPEL CT, GLEN BURNIE, MD 21060-8396
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
Other
Enumeration date
05/10/2024
Last updated
05/10/2024
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