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Individual

CHARLES WANGUI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
2245 EASTERN AVE, BALTIMORE, MD 21231-3113
(443) 489-9009
Mailing address
2245 EASTERN AVE, BALTIMORE, MD 21231-3113
(443) 489-9009

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
R198299
MD

Other

Enumeration date
10/08/2019
Last updated
04/15/2023
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