KINGSLEY PENN AWA

HYATTSVILLE, MD
NPI1700699584
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Additional Taxonomies171M00000X Case Manager/Care Coordinator
Enumeration Date2025-01-27
Last Update Date2025-03-05
Business Address
Mr. KINGSLEY PENN AWA
3718 COOPER LN
HYATTSVILLE, MD 20784-2425
Phone number: 202-280-0622
Mailing Address
Mr. KINGSLEY PENN AWA
3718 COOPER LN
HYATTSVILLE, MD 20784-2425
Phone number: 202-280-0622