Individual
GINIKANWA NKWONTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
32 W WASHINGTON ST, HAGERSTOWN, MD 21740-4884
(240) 527-2060
Mailing address
14550 YORK RD, SPARKS, MD 21152-9307
(443) 330-7900
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C0010019
MD
Other
Enumeration date
09/23/2022
Last updated
08/07/2025
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