Individual
QUEEN MBANUZUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
2905 MITCHELLVILLE RD STE 105, BOWIE, MD 20716
(301) 430-0337
(240) 244-0617
Mailing address
PO BOX 683, BOWIE, MD 20718-0683
(301) 430-0337
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
01494
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043167200
—
MD
01
—
1245527258
NPI
MD
05
—
834112500
—
MD
Enumeration date
08/05/2008
Last updated
09/20/2022
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