Individual
MBANWI CIDOLINE ANGWI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 955-4766
Mailing address
525 N WOLFE ST, BALTIMORE, MD 21205-2110
(410) 955-4766
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN500009963
DC
376K00000X
Nurse's Aide
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PROFESSIONAL
HEALTH
DC
Enumeration date
01/04/2019
Last updated
10/03/2025
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