Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHEN BOBGA GWANVOMA, HHA
Active Sole ProprietorSTEPHEN BOBGA GWANVOMA, HHA is a Home Health Aide healthcare provider located in MIDDLE RIVER, Maryland. NPI 1619302585 is currently active in the NPPES registry. Verify at CMS.
Home Health Aide · MIDDLE RIVER, MD
Registration Details
- NPI Number
- 1619302585
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 10, 2013 (12.939495958696 yrs)
- Last Updated
- Sep 10, 2013
- Sole Proprietor
- Yes
Practice Information
- Address
-
670 W KINGSWAY RDMIDDLE RIVER, MD, 212204925Browse MD providers · Browse ZIP 21220
- Phone
- 2025450935
- Fax
- 2025450176
- Primary Specialty
-
Home Health Aide
374U00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.