MEDICARE: VICTORINE AKAWUNG

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
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1114767787
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VICTORINE AKAWUNG

Provider Business Mailing Address
First Line	:	5704 85TH AVE
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-2927
Country	:	US
Telephone Number	:	240-919-6955
Fax Number	:

Provider Business Practice Location Address
First Line	:	5704 85TH AVE
Second Line	:
City	:	NEW CARROLLTON
State	:	MD
Zip	:	20784-2927
Country	:	US
Telephone Number	:	240-919-6955
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/30/2024
Last Update Date	:	05/30/2024

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Directions to “ VICTORINE AKAWUNG ” Practice Location

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