Individual
IDRISSA BANGURA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8201 HOUSTON CT, APT 3, TAKOMA PARK, MD 20912-6275
(240) 413-0975
Mailing address
8201 HOUSTON CT, APT 3, TAKOMA PARK, MD 20912-6275
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
06/09/2016
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