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Antjuan Mandwell Bunn
Prosthetics Case Management in College Park, Maryland
NPI 1790316206

Antjuan Mandwell Bunn is a Prosthetics Case Management based in Mount Rainier, MD and is specialized in Prosthetics Case Management. Antjuan Mandwell Bunn practices in College Park, MD. The NPI Number for Antjuan Mandwell Bunn is 1790316206 and holds a License No. 221886 (Maryland).

The current practice location address for Antjuan Mandwell Bunn is 8147 Baltimore Ave Ste C, College Park, MD and can be reached out via phone at 240-398-1909.

Location: 8147 Baltimore Ave Ste C, College Park, MD, 20712-2123
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790316206
Provider Name
Antjuan Mandwell Bunn
Credential
Provider Entity Type
Individual
Gender
Male
Address
8147 Baltimore Ave Ste C, College Park, MD, 20712-2123
Phone Number
240-398-1909
Fax Number
Provider Enumeration Date
02/03/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
8147 Baltimore Ave Ste C
City
College Park
State
Maryland
Zip
20740-2492
Phone Number
240-398-1909
Fax Number
person
Provider Business Mailing Address Details
Address
8147 Baltimore Ave Ste C
City
College Park
State
Maryland
Zip
20740-2492
Phone Number
240-398-1909
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
Prosthetics Case Management
Taxonomy
1744P3200X
License No.
221886 (Maryland)
Definition
Definition to come...
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