Wenonah Gwynn Valid NPI
Individual provider · Assisted Living Facility · Forestville, MD
- NPI
- 1073157293
- Type
- Individual (Type 1)
- Primary specialty
- Assisted Living Facility
- Specialty group
- Nursing & Custodial Care Facilities
- Taxonomy code
- 310400000X
- License number
- 16AL1226-A (MD)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2019-10-31
- Last updated
- 2019-10-31
Practice location
3333 Pumphrey Dr
Forestville, MD 20747-4308
(301) 735-5741