Individual
DOROTHY NYENJU FOWANKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8805 SHANNAN DR, CLINTON, MD 20735-2450
(540) 246-1989
Mailing address
8805 SHANNAN DR, CLINTON, MD 20735-2450
(540) 246-1989
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
HHA14266
DC
Other
Enumeration date
02/08/2019
Last updated
02/08/2019
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