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Individual

GODWIN ABLAKWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
3550 CHERRY HILL CT, BELTSVILLE, MD 20705-3657
(240) 360-6143
Mailing address
3550 CHERRY HILL CT, BELTSVILLE, MD 20705-3657
(240) 360-6143

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
HHA
DC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
A142285078967
DRIVERS LICENSE
MD
Enumeration date
12/22/2017
Last updated
12/22/2017
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