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NPI Code Detail

MEDICARE: COLLINS NKEMAWUNG

MEDICARE: COLLINS NKEMAWUNG
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1083482087
Entity Type Code : Individual
Provider Name (Legal Business Name) : COLLINS NKEMAWUNG
Provider Business Mailing Address
First Line : 5700 SILK TREE DR
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-3512
Country : US
Telephone Number : 240-422-4033
Fax Number :
Provider Business Practice Location Address
First Line : 5700 SILK TREE DR
Second Line :
City : RIVERDALE
State : MD
Zip : 20737-3512
Country : US
Telephone Number : 240-422-4033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2023
Last Update Date : 01/24/2024

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Directions to “ COLLINS NKEMAWUNG ” Practice Location

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