Individual
HOSTENSIA ENGUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6906 GOOD LUCK ROAD, LANHAM, MD 20706
(240) 825-7912
Mailing address
6906 GOOD LUCK ROAD, LANHAM, MD 20706
(240) 825-7912
Taxonomy
Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary
A0018737
MD
Other
Enumeration date
03/05/2021
Last updated
03/05/2021
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