Organization
DAWAMED LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEONARD MUGO (DIRECTOR)
(410) 900-4619
Entity
Organization
Contact information
Practice address
8117 HARFORD RD # 2, PARKVILLE, MD 21234-5792
(410) 900-4619
(531) 200-7379
Mailing address
4611 SOUTHWOOD AVE, BALTIMORE, MD 21206-2245
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
08/30/2020
Last updated
07/02/2025
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