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Contact Information

WILMA EVANGELINE A BANDONG, DDA SERVICE PROVIDER
3060 MITCHELLVILLE RD STE 104
BOWIE, MD20716-3963
 Phone: 202-460-6219
 Fax:
 Website:
Indicates primary specialty

NPI Profile & details for WILMA EVANGELINE A BANDONG · (Female)

NPI # 1720589542
Status Active
Credentials DDA SERVICE PROVIDER
Entity Individual
Enumeration date 02/27/2018
Last updated 06/16/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • MD Medicaid 9D
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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