Healthcare Provider Details

I. General information

NPI: 1902721400
Provider Name (Legal Business Name): EUNICE EUSTACE MAJULA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/12/2026
Last Update Date: 08/12/2026
Certification Date: 08/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12718 HOVEN LN
BOWIE MD
20716-1144
US

IV. Provider business mailing address

12718 HOVEN LN
BOWIE MD
20716-1144
US

V. Phone/Fax

Practice location:
  • Phone: 301-408-8169
  • Fax: 301-383-3701
Mailing address:
  • Phone:
  • Fax: 301-383-3701

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRSA-02869
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: