Individual
AUGUSTINA NWANONENYI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3103 BARCROFT DR, UPPER MARLBORO, MD 20774-7501
(240) 280-5701
Mailing address
3103 BARCROFT DR, UPPER MARLBORO, MD 20774-7501
(240) 280-5701
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
A00035287
MD
376K00000X
Nurse's Aide
Primary
NA0000801458
DC
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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