Individual
PAULINE CHINASA NNAWUBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9475 LOTTSFORD RD, SUITE 250, LARGO, MD 20774-5357
(301) 636-6504
Mailing address
601 BLACK BRANCH WAY, BOWIE, MD 20721-6229
(301) 390-1766
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
R183831
MD
163W00000X
Registered Nurse
R183831
MD
163WC1500X
Community Health Registered Nurse
Primary
R183831
MD
Other
Enumeration date
01/23/2012
Last updated
01/23/2012
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