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Individual

VENISA BIH NGWA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
11103 LOCHTON ST, UPPER MARLBORO, MD 20774-1529
(240) 854-3117
Mailing address
11103 LOCHTON ST, UPPER MARLBORO, MD 20774-1529
(240) 854-3117

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
374U00000X
Home Health Aide
HHA200003889
DC

Other

Enumeration date
05/29/2024
Last updated
10/31/2024
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